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It is an utmost concern for the physician and a source of anxiety for the parents.1 High bilirubin level may be toxic to the developing central nervous system and may elicit neurological impairment in newborns.2 About 60% of term newborns become visibly jaundiced in the first week of life.
Being a hospital based study done only in jaundiced patients requiring phototherapy, it does not reflect the prevalence of G6PD deficiency in the entire population of Assam.
G6PD assay should be included in all jaundiced neonates for earlier detection and timely prevention of complication like kernictrus.
In certain specific subgroups of jaundiced patients, including those with acute suppurative cholangitis,[91] severe malnutrition, impending renal failure or hilar block requiring portal vein embolisation,[13,92,93] and those who need pre-operative neoadjuvant therapy,[29] urgent PBD is indicated and can be lifesaving.
Over half of all infants are thought to be jaundiced in the first week.
(14) Yet the assessment of stool colour is not routine to well-baby-care practice, and pale stools are not recognized as being abnormal in jaundiced infants.
Since most jaundiced patients are not critically ill when initially assessed, diagnosis and therapy can be undertaken in a stepwise fashion, with each subsequent test logically selected according to the information available at that point.
He may not realize that these same physicians now feel that this view was in error and have made a complete turnaround in favor of closer monitoring of jaundiced infants.
Immediate exchange transfusion is recommended in any infant who is jaundiced with signs of the acute bilirubin encephalopathy including hypertonia, arching, retrocollis and opisthotonos (head and heels drawn back), fever, and high-pitched cry--even if the bilirubin is decreasing (AAP, 2004) (see Table 4).
The most common risk factors are breast-feeding, history of a jaundiced sibling, gestational age under 38 weeks, and jaundice before discharge.
We report the concentrations of copper in healthy and jaundiced full-term and premature infants and their correlations with hemoglobin, bilirubin, and liver enzymes.
One month later, she felt better, was no longer jaundiced, and results of her liver function tests were generally normal.
I am also due to deliver very soon and I am worried my baby will be jaundiced, too.
If a baby is still jaundiced by the age of two weeks, however, investigations are needed to find out the cause.
During a pediatric appointment on day 11, the infant weighed 5 lbs, 10 oz (2552 g), was dehydrated, and jaundiced. A tested serum sample revealed an elevated bilirubin of 41.5 mg/dL (normal range at age [greater than]72 hours: [less than]17 mg/dL).