Case Study 2 Epidemiology 2 Nepal 2 A small scale study was done on " Factors associated with neonatal hyperbillrubinemia on 25 neonate with clinical evidence of jaundice, 48 hours after delivery to four weeks of life. The factors associated with hyperbilirubinemia were premature rupture of membrane(40%), instrumental delivery (24%), use of oxytocin during labour(16%), neonatal infection (16%) maternal diseases e.g. jaundice and Rheumatic heart disease (12%), breech delivery (8%) prematurity (8%) meconium staining (8%) and smoking (4%). The result indicates an association between breast feeding and delayed feeding with neonatal hyperbilirubinemia.12 out of 25 babies were subjected to phototherapy. Among the phototherapy group there were 5 cases of instrumental delivery, 8 cases of abnormal situation, 2 cases prematurity and 8 cases in delayed feeding. The highest peak serum bilirubin level in blood was found in those babies, who were delivered by vaccum extraction. seven cases had clinical jaundice quite late after birth 1 Action research 1 Action research- case studies 1 Antimalarials 1 Arghakhanchi district 1 Arsenic poisoning-diagnosis 1 Arsenic-toxicity 1 Case Management 1 Case management 1 Case management administration and organization 1 Case report 1 Case study 1 Child 1 Children 1 Clinical protocols 1 Commercial policy 1 Communicable Diseases 1 Critical Care 1 Developing Countries 1 Diagnosis 1 Diagnosis differential 1 Diarrhoeal diseases 1 Diarrhoeal diseases - case management 1 Diarrhoeal diseases - control 1 Diarrhoeal diseases - pathophysiology 1 Disaster Planning 1 Disasters 1