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2018, Number 6

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Rev Mex Pediatr 2018; 85 (6)

Detection of neonatal jaundice in the visit for neonatal metabolic screening

Jonguitud-Aguilar A, Noyola-Salazar CA, De Jesús-Raya E, Montes-Acuña OJ

Language: Spanish
References: 17
Page: 212-215
PDF size: 230.37 Kb.


ABSTRACT

Introduction: Neonatal hyperbilirubinemia requires timely detection to avoid complications. In healthy newborns. The short postpartum stay limits the possibility of detecting them; however, when they come to take metabolic screening may favor the identification of new cases. Objective: To describe the characteristics of newborns admitted with hyperbilirubinemia, particularly exploring the place where the reference was made. Material and methods: Retrospective study. We reviewed the records of newborns admitted for hyperbilirubinemia, who did not have major congenital malformations. Variables registered were place of reference (joint accommodation, preventive medicine service, home, other hospital), mother’s age, type of delivery, birth weight, Apgar, type of feeding. Likewise, weight loss was determined relative to birthweight, presence of hypernatremia (› 150 mEq/L), and indirect bilirubin data at the time of admission. Results: 138 patients were studied. Regarding their origin, 56% were detected in preventive medicine for sampling metabolic screening. The average value of indirect bilirubin was 18.6 mg/dL (minimum 10.5, maximum 34.0). Concomitantly, hypernatremic dehydration was detected in 35%. The management was conservative and there were no complications during the stay. Conclusions: In healthy newborns, detection of jaundice during the visit for metabolic screening allowed majority patients with hyperbilirubinemia; in addition, it was possible to identify cases of concomitant hypernatremic dehydration. This scrutiny possibly helped these patients to evolve favorably.


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