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 Need opinion on my baby's jaundice condition

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FluffyTee
post Aug 16 2016, 01:08 AM

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QUOTE(omaigad @ Aug 16 2016, 12:13 AM)
Anyone that his/her child jaundice level above 300? Mine is 338 today and im really worried about his recovery
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There are 2 units used to measure bilirubin in the blood. im guessing its micromol/l.

Jaundice can be physiological and is really common among new born. Abnormal or not depends on the age of the baby and other risk factors.

There is a graph pediatrician use. Lower age have a lower threshold for abnormal. This may vary from center.

I cannot give further opinion or advise as causes are many. perhaps u could elaborate a lil more of ur situation?

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FluffyTee
post Aug 16 2016, 02:02 PM

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QUOTE(omaigad @ Aug 16 2016, 07:07 AM)
Thanks for the graph, his age is 72 hours during check up. The eyes still not yellow yet, but the skin is yellowish. The baby still active when wake up, but sleep a lot.
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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
FluffyTee
post Aug 16 2016, 07:33 PM

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QUOTE(omaigad @ Aug 16 2016, 04:02 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.
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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.

 

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