QUOTE(doodleman @ Jan 27 2016, 12:39 PM)
Hey guys, my baby's bilirubin reading just hit an all time high of 262 (prolonged jaundice btw). So, the KK gave me a referral letter to go to the hospital for further actions to be taken. So i went to Putrajaya hosp on the same day, hoping to get phototherapy for my baby, and to my horror, the nurse at the pediatric counter told me that she would give me a scheduled consultation for next wednesday! After being stunned a little, i asked her can it wait that long?! She replied that my baby is only 17 days old and they only look after babies who are 21 days and/or older. WTF?!
What should i do? i'm considering going to a private hospital now as i worry if i wait for wednesday it'll be too late and the bilirubin levels might increase some more. Any suggestions? should i wait? So worried!
Is this your 1st child ?
My son had jaundice too when he was born. Took him to KK and KK said to go to GH. His reading was 250 ~ 300. Brought him to GH (admitted for 2 nights) and they put him under phototherapy until the reading went down to less than 250. He was then discharged but a few days later I brought him to KK and his reading was back up to more than 250 again. KK said to go to GH again but I just felt that it wasn't convenient to sit there just to be placed under phototherapy. I asked around and found out some private clinic in Seremban have the machine and it's either you rent the machine or stay there. I rented the machine and put him under the light at home for 3 days. His reading when down to less than 200. In between everyday I brought him outside under the morning sun around 8 ~ 9am. His reading then slowly went down until the jaundice went away.
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Neonatal jaundiceNeonatal jaundice is usually harmless: this condition is often seen in infants around the second day after birth, lasting until day 8 in normal births, or to around day 14 in premature births. Typical causes for neonatal jaundice include normal physiologic jaundice, jaundice due to formula supplementation, and hemolytic disorders that include hereditary spherocytosis, glucose-6-phosphate dehydrogenase deficiency, pyruvate kinase deficiency, ABO/Rh blood type autoantibodies, or infantile pyknocytosis. Serum bilirubin normally drops to a low level without any intervention required. In cases where bilirubin rises higher, a brain-damaging condition known as kernicterus can occur, leading to significant disability.
This condition has been rising in recent years due to less time spent outdoors. A Bili light is often the tool used for early treatment, which often consists of exposing the baby to intensive phototherapy. Sunbathing is effective treatment, and has the advantage of ultra-violet-B, which promotes Vitamin D production. Bilirubin count is lowered through bowel movements and urination, so frequent and effective feedings are especially important.https://en.wikipedia.org/wiki/Jaundice If I were you, I wouldn't wait that long as you need to bring down the reading to at least under 250. I'm seriously not aware of such policy and never even knew such policy exist in the 1st place. My son was admitted to GH when he was less than 2 weeks old so I don't know why Putrajaya Hospital has made it such.
My advice is, don't wait too long. If possible BF your baby as frequent as possible as it helps to clear the jaundice. Also, try to put your baby under the sun every morning but don't do it after 9am as it gets quite hot. 8~9am should be good. It's better to go to a private hospital and put your baby under phototherapy.
Jan 27 2016, 12:39 PM, updated 10y ago
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