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Factores de riesgo de hiperbilirrubinemia neonatal no hemolítica en recién nacidos a término en el Hospital Vicente Corral Moscoso, Cuenca 2009

Abstract:

Objective. To determine factors of risk of Hyperblirrubinemia Neonataly non hemolítica in newly born to term, in the department of Neonatology of the Hospital Vicente Corral Moscoso, 2009. Materials and Methods. He/she was carried out a retrospective study, of cases and controls. Hyperbilirrubinemia was determined with value >10mg/dl in the 24 hours of life. They participated 852 newly born, 213 cases (with hyperbilirrubinemia) and 639 controls (without hyperbilirrubinemia), independent variables were identified to maternal factors: age> 25 years, toxemia, premature Rupture of membranes (RPM)> 15 hours, Caesarean operation and factors neonataly: I weigh, sex, suffocates and fast. The data were obtained of clinical histories and in the analysis odds ratio(OR was calculated) with interval of trust (IC) of 95%. Results. The associate factors significantly with hyperbilirrubinemia they were: it suffocates with OR 9.09, IC 95% (3.77 – 22.58) p=0.01; RPM> 15 hours with OR 6.20, IC95% (3.33 – 11.60) p=0.01; fast OR 6.00, IC95% (3.11 – 11.64) p=0.01 and maternal age OR 1.48, IC95% (1.07 – 2.05) y p= 0.01 The factors associated of non significant way are toxemia, Caesarean operation. And the factors non associates are the masculine sex and I weigh <2500 g. Conclusions. According to that exposed in the investigation, the factors associated to hyperbilirrubinemia they were asphyxia, premature rupture of membranes> 15 hours, fast and maternal age.