Zheltushka in a newborn is quite common, but do not be afraid of him., things may not be so scary. Zheltushka appears in newborn babies still in the hospital. And in most cases, it passes by itself, after a few days. But let’s see why and how it appears and whether it is necessary to treat the jaundice.
Causes of yellowing in newborns:
During fetal life, a large number of red blood cells (RBCs) are present in the fetal blood. But as soon as the baby begins to breathe, the body no longer needs so many red blood cells to oxidize tissues, so after the birth of a child, some of them break up. The released dye (bilirubin) enters the liver, and because of the immaturity of the newborn’s liver is not able to quickly remove it from the body. If it is deposited in large quantities in the skin of a child, then it acquires a characteristic yellow color.
The causes of yellowing in newborns are varied. These include the incompatibility of maternal blood with the child’s blood by the Rh factor or group, and impaired liver function, inflammatory processes in the liver, as well as underdeveloped bile ducts.
In extremely rare cases, there is jaundice in newborns caused by mother’s milk. To determine this form of jaundice in children allows the late terms of its appearance – starting from the second week of a child’s life. But even in this case, it is not recommended to refuse breastfeeding.
If jaundice is found in a newborn baby in a maternity hospital, mother and child are not allowed to go home. They remain in the hospital until complete recovery. If you identify a high level of bilirubin in the blood of a newborn, he is transferred to a specialized department.
Symptoms of jaundice in newborns:
A few days after birth, the child may experience staining of the skin, and often the mucous membranes of the eyes are yellowish in color (stool and urine are not stained). In addition, the yellow one changes the biochemical analysis of blood.
But, as a rule, already on the 7-10th day, the yellowness of the skin begins to decrease and the child’s condition returns to normal. Keep in mind that the yellow one remaining for a newborn for more than two weeks, as well as the appearance of the yellow one after discharge from the maternity hospital, is considered a sign of pathology. In this case, you should urgently show the baby to the doctor.
The condition of a newborn child suffering from jaundice is usually satisfactory. During severe jaundice in a newborn, there is lethargy and drowsiness.
Treatment of jaundice in newborns:
To date, the vast majority of domestic and foreign experts believe that the treatment of jaundice in newborns does not need the use of drugs.
The simplest and innocuous remedy is finding a newborn baby in the sun. Therefore, in the maternity hospital, the child is prescribed phototherapy sessions (it is placed under special blue and white lamps).
Premature babies require additional hospital treatment. The best medicine for physiological jaundice of newborns is breast milk.
Frequent feeds “washed” the baby’s body. In addition, early milk has a laxative effect and thus helps to bring bilirubin faster. That is why it is so important to attach the newborn to the breast as soon as possible.
Comment Tatiana Konstantinovna Znamenskaya, President of the Association of Neonatologists of Ukraine:
The yellow one is physiology and you shouldn’t be afraid of it. There are cases when jaundice can last up to 1 month, but at the same time mother can fully breastfeed and not be afraid.
But sometimes it happens that other facts can alarm my mother. For example, if the child is not the carrier of the same blood type as the mother,
If the mother has Rh (-), and the child has Rh (+) – this is a group conflict, in which jaundice can also occur.
Also, jaundice can be a child with congenital hepatitis B. But this is already a sick child, which falls under the strict control of doctors. Such children are usually at risk.
If the child is premature or hypotrophic, then these children often have prolonged jaundice, but this should also not be feared.
In such cases, it is necessary to consult a doctor and check the level of bilirubin and hemoglobin in the blood. This is a very serious moment, where self-medication is completely inappropriate!
UAUA.info: Is it possible to identify possible problems with blood type during pregnancy?
Yes you can. The fact is that if the pregnancy is the first, then the problems are often absent. If the pregnancy is not the first one, and the mother has I (+/-), then she should definitely turn to her obstetrician-gynecologist during pregnancy and have some tests done.