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Ictericia del recién nacido - Prevention

Nombres alternativos

Ictericia del neonato; Hiperbilirrubinemia neonatal; Luces azules especiales y la ictericia

Prevención:

En los recién nacidos, cierto grado de ictericia es normal y probablemente no se pueda prevenir. El riesgo de ictericia significativa a menudo puede reducirse alimentando a los bebés al menos de 8 a 12 veces al día durante los primeros días e identificando cuidadosamente a los bebés en mayor riesgo.

A todas las mujeres embarazadas se les deben practicar pruebas del grupo sanguíneo y anticuerpos inusuales. Si la madre es Rh negativa, se recomienda hacer pruebas de seguimiento en el cordón umbilical del bebé. Esto también puede hacerse si el grupo sanguíneo de la madre es O+, pero no necesariamente se requiere si se lleva a cabo un control cuidadoso.

El control cuidadoso de todos los bebés durante los primeros 5 días de vida puede prevenir la mayoría de las complicaciones de ictericia. En el mejor de los casos, esto incluye:

  • Contemplar el riesgo de ictericia de un bebé.
  • Verificar los niveles de bilirrubina alrededor del primer día.
  • Programar al menos una consulta de control la primera semana de vida para los bebés que salen del hospital en 72 horas.
  • Reviewed last on: 11/12/2010
  • Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

American Academy of Pediatrics (AAP). Management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation. Pediatrics. 2004;114:297-316.

Mercier CE, Barry SE, Paul K, et al. Improving newborn preventive services at the birth hospitalization: a collaborative, hospital-based quality-improvement project. Pediatrics. 2007;120:481-488.

Moerschel SK, Cianciaruso LB, Tracy LR. A practical approach to neonatal jaundice. Am Fam Physician. 2008;77:1255-1262.

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