Wednesday, June 24, 2009

And she was all yellow...

Dear Junebug,
We still haven't talked about that horrible incident of jaundice you experienced when you were first born.  It's usually normal but if not careful, it can lead to some pretty serious stuff (see web md posting below from  Daddy did not like that x-files looking blue box you had to sleep in for 2 days... you gave us a pretty good scare, especially when the hospital wouldn't let you go home but DID want to send Mommy home.  Your Daddy and I slept in the hospital nursery because we did not want to leave your side.  Luckily that only lasted one night because your bilirubin levels began to decrease (I think the doctors felt sorry for us after this and let us go home).  There is a longer version of this story which involves a nosy Nigerian nurse who couldn't speak english that stared at me all night long, a scary little man-baby drinking formula that looked like yoo-hoo, the Tom Hanks movie "The Terminal", a gourmet dinner delivery gone wrong, intruders displaying bad flower arrangements, Mommy crying, threatening to make a run for it and a Mr. Toad's wild ride out of the hospital.  But we won't "go there".  What does all that matter?   Your skin is a nice shade of olive now.  Bye bye yellow.

What is jaundice in newborns?

Jaundice is a condition that makes a newborn’s skin and the white part of the eyes look yellow. It happens because there is too much bilirubin in the baby’s blood (hyperbilirubinemia). Bilirubin is a substance that is made when the body breaks down old red blood cells.

Jaundice usually is not a problem. But in rare cases, too much bilirubin in the blood can cause brain damage (kernicterus). This can lead to hearing loss, mental retardation, and behavior problems.

In healthy babies, some jaundice almost always appears by 2 to 4 days of age. It usually gets better or goes away on its own within a week or two without causing problems.

In breast-fed babies, mild jaundice sometimes lasts until 10 to 14 days after birth. In some breast-fed babies, it goes away and then comes back. Jaundice may last throughout breast-feeding. This isn't usually a problem as long as the baby gets enough milk by being fed at regular times.

Your doctor probably will ask you to keep checking your baby at home to make sure the jaundice is going away. Your baby will need a follow-up exam within the first 5 days after birth. Call your doctor if the yellow color gets brighter after your baby is 3 days old.

What causes jaundice in newborns?

Jaundice occurs because your baby’s body has more bilirubin than it can get rid of. Bilirubin is made when the body breaks down old red blood cells. It leaves the body through urine and stool. During pregnancy, your body removes bilirubin from your baby through the placenta. After birth, your baby’s body must get rid of the bilirubin on its own.

Breast-fed newborns can become dehydrated easily if feedings are spaced too far apart. This lack of enough milk in the body makes it harder for your baby to get rid of wastes such as bilirubin. Also, some of the things that make up breast milk can change the way the body removes bilirubin.

In rare cases, too much bilirubin may be caused by infections, a problem with the baby’s digestive system, or a problem with the mom’s and baby’s blood types (Rh incompatibility). Your baby may have one of these problems if jaundice appears less than a day after birth.

What are the symptoms?

Jaundice can make your baby’s skin and the white part of the baby’s eyes look yellow. You may see the yellow color between 1 and 4 days after birth. It shows up first in the baby’s face and chest. Babies who have bilirubin levels that are too high may have a high-pitched cry. They also may be sluggish and cranky.

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