Document Detail

Can haptoglobin be an indicator for the early diagnosis of neonatal jaundice?
MedLine Citation:
PMID:  19021267     Owner:  NLM     Status:  MEDLINE    
Neonatal jaundice is the result of an imbalance between bilirubin production and elimination. Bilirubin conjugation in newborns is significantly impaired in the first few days; even a small increase in the rate of production can contribute to the development of hyperbilirubinemia. Hemolysis has a significant role in bilirubin increase in newborns. Intrauterine is tolerated by the maternal metabolism in life. When hemolysis takes place, a decrease is accepted in the haptoglobin and hemopoexin blood levels binding hemoglobin in the environment. Therefore, it may be considered that haptoglobin and hemopoexin from the early period umbilical cord (UC) blood in newborns may be an indicator in determining jaundice likely to develop in later stages. Babies were called to the control polyclinic in the third and fifth days. Eighty-four babies with normal term birth were included in the study. Gestational age of the mothers was 39.5+/-1.5 weeks in average. A significant negative correlation was found between the haptoglobin level from the UC taken during delivery and the bilirubin value in the fifth day (r=-0.345; P=0.001). The haptoglobin value from the blood of the UC can be used as a guiding indicator to demonstrate the future occurrence of jaundice in newborns. This way, the babies with high jaundice risk may be detected earlier and closer follow-up of these babies can be obtained. As a result, the haptoglobin level of the blood from the UC during delivery allows us to make an early prediction on whether neonatal jaundice will occur.
Alpay Cakmak; Mustafa Calik; Ali Atas; Ibrahim Hirfanoglu; Ozcan Erel
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of clinical laboratory analysis     Volume:  22     ISSN:  1098-2825     ISO Abbreviation:  J. Clin. Lab. Anal.     Publication Date:  2008  
Date Detail:
Created Date:  2008-11-25     Completed Date:  2009-01-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8801384     Medline TA:  J Clin Lab Anal     Country:  United States    
Other Details:
Languages:  eng     Pagination:  409-14     Citation Subset:  IM    
Department of Paediatrics, Harran University School of Medicine, Sanliurfa, Turkey.
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MeSH Terms
Biological Markers / blood*
Early Diagnosis
Fetal Blood / chemistry
Haptoglobins / analysis*
Infant, Newborn
Jaundice, Neonatal / blood,  diagnosis*
Prospective Studies
Reg. No./Substance:
0/Biological Markers; 0/Haptoglobins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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