Causes and Treatment of Hematuria in Newborns

Abstract

Background: Hematuria is one of the cases that has started to increase in newborns, but studies on the causes and treatment of this condition are very limited, especially in Iraq. Therefore, the current study aims to determine the prevalence of this condition and monitor its causes and appropriate treatment. Methods: The current study includes the collection of questionnaires and medical examinations from 35 newborns (ages between 2 hours to 2.5 months) suff ering from hematuria for various reasons. Samples were collected during the period from 2/1/2021 to 28/3/2021, and information and examinations for each diseased case were collected. Results: The results of the study showed that most of the newborns had gross hematuria (91%) compared to microhematuria (9%), especially males and that the main causes of hematuria in newborns were due to bacterial septicemia (37%) and urinary tract infections (32%), congenital malformations (14%), and renal artery thrombosis (11%). The results also showed that most of the children who suff er from hematuria whose mothers suff er from health problems during pregnancy, the most important of which are anemia (31.4%), urinary tract infection (UTI) (14.2%) and gestational diabetes (14.2%). The results of this study also showed that the treatment of hematuria depends on the diagnosis of the pathogen, and the CT scan was a basic examination for all cases, in addition to that, the microscopic examination and the culture of urine were also used. Antibiotics and surgeries were the appropriate treatment in most cases of hematuria. In conclusion, blood in urine is a pathological condition that needs diagnosis and treatment as soon as possible to avoid complications or disorders that may threaten the newborn’s life.