Abstract

CAMPO GONZALEZ, Ana et al. Aggravated neonatal hyperbilirubinemia. Rev Cubana Pediatr [online]. 2010, vol.82, n.3, pp. 13-19. ISSN 1561-3119.

INTRODUCTION. Most of times jaundice in newborn is a physiological fact due to hyperbilirubinemia of indirect predominance, secondary to liver immaturity and to bilirubin hyperproduction. The aim of present of present study was to determine the behavior of neonatal hyperbilirubinemia in the Gynecology and Obstetrics Teaching Hospital of Guanabacoa municipality from 2007 to 2009. METHODS. A retrospective and descriptive study was conducted in 173 newborn patients admitted in the Neonatology Department diagnosed with severe hyperbilirubinemia. RESULTS. The incidence of severe neonatal hyperbilirubinemia was of 3,67% with predominance in brothers with a history of jaundice (56,65%). The time of appearance was of 48 to 72 hrs (76,87%) and among the aggravating factors were the preterm birth and a low birth weight. Most of patients were treated with luminotherapy (90,17%). CONCLUSION. The severe neonatal hyperbilirubinemia is a health problem. Aggravating factors include the prematurity and the low birth weight. Luminotherapy is an effective therapeutic measure for its treatment.

Keywords : Newborn; jaundice; hyperbilirubinemia; luminotherapy.

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