I still do not know much to ascertain the cause or true severity. But as the bilirubin level is above the graph, its usually safer to provide phototherapy when in doubt.

A newborn arrives into our world and transition can be tough. Many of the body system struggle to cope in our world. Some babies may have shortness of breath for few days while others may have jaundice.

Physiological jaundice occurs as the babys red blood cells gets destroys faster than the body is able to discard them out. A Fetus(unborn baby) have high concentration of rbc to absorb oxygen from the mothers circulation. Once born many of these rbc are destroy but this time they cannot discard then via umbilical cord/mothers circulation. And they have to rely on their own system for disposal..

Sunlight helps break down bilirubin into a more pleasant form for discard while feeding further enhances the disposal from the body (bilirubin excreted into the gut and kidneys, infact they are responsible for the stool and urine colors). *do not intentionally put ur baby under the sun.. There is risk of sun burn.

However too much bilirubin can cause problem.. Mainly neurological damage. Hence pediatrician may give phototherapy and request the mother to stay in and give regular feeding as possible.. Even if there is not much milk, the sucking reflex does trigger bowel movement and helps dispose bilirubin via stool.

This post has been edited by FluffyTee: Aug 16 2016, 02:04 PM

Thanks for the advice, now still in phototherapy and feed by mother's milk regularly. 1st reading was 377, the doctor said its dangerous if reaching 385 and above. Today, drop to 264. Really glad about it, they are waiting it to drop below 240.

And from my reading, if a mother that have O type blood, and the father is not will have higher risk to get jaundice. In this case my wife is O and mine is B. There is 1 other patient same situation in the ward, the wife is O.

This post has been edited by omaigad: Aug 16 2016, 04:05 PM

That is among the common cause. The 2 common cause of hemolysis in fetus is ABO and Rhesus incompatibility. Rhesus is more severe.
Basically mother who is Blood O may have antibody agains A and B. As part of the immune system, the mothers body (group O) will identify the fetus as an intruder and attack them( blood group B or A). As a result the fetus loses alot of rbc. They are usually smaller in birth weight. Statistically they will turn out just fine should they survive till birth. But those severe cases may have still birth due to heart failure due to insufficient rbc.
The jaundice caused by these group are usually mild and babies wont have any long term abnormality. Severity of each subsequent pregnancy(if the baby blood group is unaccepted by the mother) is more severe than the last. But don worry, ABO incompat its usually just mild. Rh incompat is worst of all.

May i know how much does it cost if baby do phototherapy at private hospital like pantai?

I heard from my colleague his baby kena RM1000 over for 2 days photo-therapy in a private hospital in Penang a few months back.
If you have budget constraint, you might want to consider renting a phototherapy system at home. Google it and you should find businesses offering this. But make sure you notify your medical care provider.

I remember pediatrician always encourage newborn to feed frequently to alleviate jaundice when my sons were born few years back. I paid a few hundred ringgits back then for phototherapy as we got tired of frequent trips to Klinik Kesihatan.

I think its crazy to feed baby with breast milk during jaundice.

BREAST MILK IS THE CAUSE OF THE JAUNDICE!!!

Just remove breastmilk and feed with powder.

nope.

there's many reasons for jaundice............

breastmilk is a rare cause.

and breastmilk jaundice is harmless. to stop breast feeding because of breastfeeding jaundice cause more harm than good.

Just stop few days until it's ok. There is no harm.

those that stop a few days then ok is not breast milk jaundice.

duh.

and there's no harm to breast milk jaundice.........no reason to stop.

Stop few days of Breast milk and jaundice clear up is definitely Breast milk jaundice. Any jaundice is harmful. And almost all are Breast milk jaundice case due to bilirubin cannot clear.

nope.

jaundice is just yellow looking of the skin. the real harm is high level of bilirubin before the blood brain barrier is fully formed which is at day 14 for term babies. high level of bilirubin before day 14 can cause kernicterus. after that there's no harm in jaundice.

neonatal jaundice is caused by increased break down of fetal type red blood cell.
physiological neonatal jaundice can occur in about 40 percent of neonates. the jaundice in physiological jaundice hardly ever pass the point requiring phototherapy.
pathological jaundice occurs when there is infection or ABO antigen antibody incompatibility or Rhesus factor antibodies occur in the neonates. these can cause very high level of jaundice and usually occur very early in neonates.

so, if you stop breast feeding before day 14 how do you know if it is due to breast milk jaundice or not?

and breast milk jaundice never cause high level of bilirubin.

zero indication to stop breast feeding in a child with jaundice.

now stop spreading this ignorance and get educated.

Well, the bilirubin count is 200 before stopping and it drop to 100 after stopping.
If it's not the stopping then it's what? No phototheraphy after the stopping.

Don't tell me it's coincidental

Of course I am talking about before 14 days

This post has been edited by gogo2: Dec 30 2017, 09:03 PM

blablabla.

many reasons.

time.

baby liver can mature over time.

blablabla......

what's your indication for stopping breast feeding again????

Bilirubin exist in breast milk.

no it doesn't.

read more.

Well that's what I read. Either it has or if causes. Stopping a few days help. That's my experience. anyway it's over now. I guess u can try just stop a few days . No harm at all.

This post has been edited by gogo2: Dec 30 2017, 09:09 PM

then you read wrong.

no one will diagnose breast milk jaundice before day 14.

Well it works. so whether u wanna believe it or not, up to u.

Probably around 14 days. Give or take 1 or 2 days.

and so?

most jaundice clear on its own by that time.

take it or leave it.

Try having a baby, 7th day, went photo treatment...21 days later readmitted. Full breastmilk. Stopped on day 21-30. Continue after that. No more Jaundice. That's my son. He's 8 now. If you suspect Jaundice from breastmilk, no harm stopping a few days. My son was on bmilk all the way till 2.