medicine Of Neonatal Jaundice

Blue Cross Blue Shield - medicine Of Neonatal Jaundice

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Jaundice is a yellow discoloration of the skin, the mucous membrane and the white of the eyes.
All newborns have a inevitable degree of this condition. Jaundice is due to excessive serum bilirubin in the blood. Once he is born, a newborn baby starts to use his lungs to breathe. excessive red blood cells, gift in large quantities in the foetal
circulation that carry oxygen break down, releasing sub-products known as serum bilirubin,

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which is ordinarily disposed off by the liver and passes out straight through the bowels. Some babies are unable to cope such disposal, foremost to jaundice. Premature and Asian infants have higher levels of serum bilirubin compared to their Caucasian counterparts.
As such, neonatal jaundice is very base in Singapore.

Neonatal jaundice becomes noticeable from the third day and peaks nearby the six
day, gently disappearing after 10 days. It is mild unless the levels are high.

Some Causes Of Jaundice In Babies Jaundice in babies can be caused by any
of the following.

• Pre-maturity

• G6Pd [glucose 6-phosphate dehydrogenase) deficiency, a

permanent condition where red blood cells break down too honestly when exposed to inevitable trigger agents.

• Sepsis infection where the baby becomes infected

• Abo incompatibility, a blood group difference that is fairly infrequent but, if present, can cause rapid and severe jaundice in babies

• Physiologic jaundice

• Breastfeeding jaundice

• Breast milk jaundice - Both viral and bacterial infections can lead to the breakdown of red blood cells.
Umbilical cord infection, septicaemia and even pyelonephritis can also lead to jaundice.

Treatment Of Jaundice

Phototherapy is a safe and efficient way of treating mild jaundice.
This rehabilitation is administered as a special micro-blue wavelength light condensed and

manufactured specifically for this purpose. It is emitted from a fluorescent light tube.

The principle behind the rehabilitation is that the light has the potential to break serum bilirubin [unconjugated bilirubin)
down to conjugated bilirubin and then flush it out with the baby's stools. The rehabilitation is painless.

Your baby is left naked except for a diaper in order to maximize the area of exposure to the blue light. His eyes are
covered for protection. During

phototherapy, your baby may be a microscopic dehydrated so extra feeds may be needed.

If your physician has advised sunbathing for your jaundiced baby, expose him to indirect sunlight for not more than 20 minutes as baby skin is very tender and sunburn can occur very easily. Expose your baby only to the morning sun (and indirectly) when there is less heat.

Remember to shield his eyes from the sun during sunbathing and turn him every five minutes. You may give your baby some water in in the middle of milk feeds as dehydration may occur.

Severe Jaundice

In severe cases, where the level is higher than 350 p.mol/1, jaundice can cause brain damage in a baby [kernictems).
This can lead to irreparable damage of his psychomotor functions, thinking retardation and even death. If you notice the usual symptoms of jaundice—yellow discolouration of the skin, palms and white of the eyes—but accompanied by nausea, vomiting, stomach pain and sometimes passing of dark-coloured urine and poor feeding due to severe lethargy,

bring your baby to a physician immediately.

Early rehabilitation is critical and may save his life. Never exertion self-medication. In such cases, phototherapy alone is ordinarily ineffective and a blood exchange

transfusion may be required if the levels are too high.

G6Pd Deficiency

G6Pd deficiency is one of the causes of jaundice. It is caused by a genetic linkage where the mom is a carrier and the condition is manifested in her son. Practically 50% of her offspring is affected if the mom is G6Pd deficient.
If your child is G6Pd deficient, it is foremost to remember that while the condition lasts for life, he can still lead a general wholesome lifestyle with the following precautions.

• Do not use mothballs on his clothes and beddings as they can trigger a rapid breakdown of his red blood cells.

• Avoid giving him inevitable traditional Chinese herbs and fava beans (bian dou) as they can also trigger a rapid breakdown of his red blood cells.

• Do not exertion self-medication.

• Avoid inevitable medications if you are breastfeeding. Consult your physician to find out the types of medicines you

should avoid.

Abo Incompatibility

This condition refers to the mom and the baby's incompatible blood groups. If the mom is Blood Group 0 and the baby
is A, B or Ab, a factor from the mother's blood can cross over the placenta and cause breaking down of the baby's blood
cells. This also applies to Rhesus difference where the mom is Rhesus negative and the baby is Rhesus Positive. In such cases, the red blood cells break down rapidly, foremost to jaundice. This ordinarily appears within 24 hours but is rarely severe. In very severe cases, blood change transfusions are needed.

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