Five Common Conditions of Newborns

1. Does the baby have jaundice? !

What should my baby's skin and eyes look yellow? Is there jaundice? Does the baby's jaundice index on the high side nee

1. Does the baby have jaundice? !

What should my baby's skin and eyes look yellow? Is there jaundice? Does the baby's jaundice index on the high side need blue light irradiation in hospital?

The situation is clear ~ will the baby have jaundice?

When the fetus is in the mother's body, the bilirubin metabolized in the blood will reach the mother through the placenta and be metabolized by the mother's liver. Just after leaving the mother's body, the baby's liver can't handle bilirubin immediately, and it can't metabolize bilirubin smoothly, which leads to yellowing of the skin and white eyes, so it will produce neonatal jaundice. Neonatal jaundice is divided into two types:

ectopic/extrauterine pregnancy

eczema

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1. Physiological jaundice: Physiological jaundice refers to the change of serum bilirubin from 17 to 5 1 24 hours after birth. Mol/L( 1~3mg/dl) gradually rose to 86? Mol/L(5mg/dl) or more, only jaundice appears in clinic, and there are no other discomfort symptoms. The baby's nursing situation and mental state are good, and jaundice will subside within 1~2 weeks. When physiological jaundice occurs, the serum bilirubin of full-term infants does not exceed 204? Mol/L( 12mg/dl), the premature infant should not exceed 255? Molar/liter (15mg/dl).

2. Pathological jaundice: jaundice appears early, starts to appear within 24 hours after birth, and lasts for a long time. Continue to deepen or even deepen 2~3 weeks after birth, or deepen after remission. Serum bilirubin is greater than 12~ 15mg/dl. The degree of jaundice is serious, the baby's skin is golden yellow, the palms and soles of the feet are obviously jaundice, accompanied by anemia or pale stool, as well as abnormal body temperature, poor appetite and vomiting.

Mom helps ~ learn to observe the degree of jaundice

1. When the newborn appears jaundice within 24 hours after birth, it should be sent to the hospital immediately to consider neonatal hemolysis. If the treatment is delayed, it may cause serious consequences, even death or nuclear jaundice.

2. Even if jaundice appears 2~3 days after birth, mother should pay attention to observe the degree of jaundice aggravation. If the jaundice continues to exceed 1 week (premature infants exceed 2 weeks), or the jaundice is aggravated rather than alleviated, the baby should go to the hospital immediately to avoid developing pathological jaundice.

3. For babies with jaundice, pay attention to check whether there is purulent infection in navel and skin. Also pay attention to the baby's general situation, such as appetite, mental reaction, breathing and so on. If there is abnormality, jaundice caused by infection should be considered.

4. Pay attention to the color of stool. If the stool is dark yellow, it means that there are too many red blood cells in the blood; If the stool turns from yellow to white, it often indicates abnormal liver function; If the stool is gray or earthy, it means that bilirubin does not flow out of the biliary tract with bile, and the possibility of congenital biliary atresia should be considered.

Related reading:

Introduction and treatment of neonatal jaundice

People often simply regard jaundice as yellow skin. In fact, this is only half right. Yellowing of the skin is only a superficial phenomenon. Normal people's blood contains a certain amount of pigment, which is called bilirubin. If bilirubin in blood increases due to physiological and pathological reasons, skin and whites of eyes will turn yellow.

What diseases are screened for neonatal diseases?

2-3 days after the baby is born, the doctor will take a few drops of blood from the baby's heel, which is screening for hereditary and metabolic diseases of the newborn. But why do you want to do this? Many new parents don't understand. Jiang Tao, director of the Neonatal Screening Center of Nanjing Maternal and Child Health Hospital, answered several common questions.