Factores de riesgo prenatal en correlación con hiperbilirrubimia neonatal en el hospital Isidro Ayora de Loja

The principal factor that generates the dies is the lack of medical controls during the gestation; it has been proved that pregnant women who are present in all the prenatal controls have healthy pregnancies and children 16. The neonatal hyperbilirubinemia is a biological phenomenon that commonly oc...

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Detaylı Bibliyografya
Yazar: Posligua Espinosa, Samanta del Rosario (author)
Materyal Türü: bachelorThesis
Dil:spa
Baskı/Yayın Bilgisi: 2014
Konular:
Online Erişim:http://dspace.unl.edu.ec/jspui/handle/123456789/12509
Etiketler: Etiketle
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Özet:The principal factor that generates the dies is the lack of medical controls during the gestation; it has been proved that pregnant women who are present in all the prenatal controls have healthy pregnancies and children 16. The neonatal hyperbilirubinemia is a biological phenomenon that commonly occurs in newborns, of indirect predominance, as a result of imbalance between the production and the removal of bilirubin 1. With more investigations about the effects and complications of this pathology, it has achieved a decrease of mortality and incidence of kernicterus in neonates 2. In this research was made a quantitative, qualitative and retrospective study; it was made with the purpose of determine and analyze the difficulties that have the prenatal risk factors correlated with Neonatal hyperbilirubinemia in the Isidro Ayora Hospital of Loja during the period of January to December in the year 2012. To did this investigation were used the clinic histories of neonates that were gotten into the hospital with this pathology or that have developed it in the “Neonatal Intensive Care Unit”, all the data was kept in the statistics department of Isidro Ayora Hospital. For the analysis, discussions and conclusions was used the data collection sheet where were pointed out important information to obtain the data required. In the results of these studies we found that aggravating risk prenatal factors are: preterm birth, teen pregnancy, base diseases of the mother that are associated with the pregnancy and the lack of prenatal controls. These results were tabulated and presented in frequencies and percentages; and as a result of it were found that the causes of hyperbilirrubinemia in neonates are: ABO incompatibility of the group A, hepatic immaturity by prematurity, the sepsis as a primary diagnosis or acquired in the neonatology. service; a result that reflects fast action in this problem is that nothing develop Kernicterus and that the 11.2% need exchange transfusion. Keywords: prenatal controls, hyperbilirubinemia, Kernicterus.