Fatores associados e causas de icterícia neonatal em bebês a termo com necessidade de fototerapia
DOI:
https://doi.org/10.36489/saudecoletiva.2026v17i109p20256-20273Palavras-chave:
Icterícia; Hiperbilirrubinemia; Recém-nascido.Resumo
Objetivo: Avaliar os fatores associados e as causas da icterícia neonatal em bebês a termo com necessidade de fototerapia. Método: Estudo observacional, transversal e prospectivo incluiu 187 recém-nascidos a termo que desenvolveram icterícia neonatal com necessidade de fototerapia. As variáveis foram apresentadas como porcentagens, médias ou medianas. Valor de p<0.05 foi considerado estatisticamente significativo. Resultados: Os fatores associados mais comuns foram clampeamento tardio do cordão umbilical (59.9%) e idade materna >25 anos (57.2%). As causas mais frequentes foram incompatibilidade ABO (40.1%) e icterícia do aleitamento materno (31.6%). Na icterícia não hemolítica, a idade materna >25 anos foi o fator associado significativo (p<0.001). Conclusão: A identificação precoce dos fatores associados e das causas de hiperbilirrubinemia é importante para o manejo efetivo desses bebês, visando diminuir o tempo de internação e chance de sequelas.
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