Jaundice in Newborn

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A committee of neonatologists, hospitalists, general pediatricians, a nurse, and breastfeeding experts worked from 2014 through 2022 to evaluate new evidence to inform the revised guidelines The American Academy of Pediatrics has revised clinical guidelines on treating infants born at least 35 weeks into pregnancy for hyperbilirubinemia. For most babies, hyperbilirubinemia leads only to jaundice, a yellow appearance to the skin and whites of the eyes. However, very rarely, it can lead to severe complications affecting the brain. The "Clinical Practice Guideline Revision: Management of Hyperbilirubinemia in the Newborn Infant 35 or More Weeks of Gestation," published in the September 2022 Pediatrics (published online Aug. 5) incorporates new research findings on risk-assessment and treatment. The guideline updates and replaces the 2004 AAP clinical practice guideline for the management and prevention of hyperbilirubinemia. A technical report, "Diagnosis and Managemen...

Background: To assess the change in serum total calcium levels during light-emitting diode phototherapy treatment for jaundice in term neonates. Methods: A prospective observational study was done on 104 term neonates with hyperbilirubinemia in a tertiary care center to investigate the effects of phototherapy using a light-emitting diode device. The total serum bilirubin along with total calcium levels was measured at the start and at the end of phototherapy. Additionally, all the newborns enrolled in the study were evaluated for hypocalcaemia-related symptoms such as jitteriness, irritability/excitability, lethargy, and convulsions. Results: A significant lowering of posttreatment total calcium level compared to that of pretreatment level (p<0.001) was found in our study. Hypocalcemia (serum calcium <8 mg/dL in term neonates) was found in 12.5% of the study subjects. Conclusions: In the treatment of neonatal jaundice, similar to conventional blue and white light ...

Recently, a third meta-analysis found neonatal jaundice is associated with substantial possible increased autism risk [1-3] - the latest in a series of repeated warnings of possible long-term neurodevelopmental harm from neonatal jaundice/hyperbilirubinemia, hypernatremia/dehydration, and hypoglycemia, all frequent causes of preventable hospitalizations for insufficient milk intake in breastfed neonates [4,5]. According to a large body of evidence, a sizeable minority of breastfed neonates receive inadequate nutrition/hydration [6-9]. Double-digit percentages of mother-infant dyads do not successfully establish breastfeeding within the first week and milk usually takes days to come in; intensive professional lactation support does not change those facts. The problem is particularly pronounced in first-time mothers, who some estimates suggest experience delayed onset of full milk production (lactogenesis II), with 33-44% of such mothers perceiving milk coming in beyond 72 hours postpa...

'Enough is enough': Vogue Williams hits back at cruel troll who branded her baby son Otto 'ugly' in vile Instagram messages - days after presenter detailed plane seat fiasco Last week the presenter, 37, branded a male passenger 'awful' after he initially refused to move seats so she could sit next to her family   Vogue has now revealed an Instagram user had been sending her vile messages branding Otto, four months, 'ugly' Vogue wrote: 'Enough of this. I would never expect or demand anyone swaps a seat with me. It was a joke that definitely didn't land'  Vogue previously said of the plane tow: 'Literally, the airhostess came down and I was like, 'have you got another aisle seat for this f***ing particular piece of s***e over here?' He was awful.' Spencer added: 'He was rubbish.'  Mum-of-three Vogue also said it is a 'nightmare' to have children on a plane and encouraged listen...

Bilirubin is a viscous, brownish-yellow substance that is a natural byproduct of liver processes like breaking down old red blood cells.  Normally, it is excreted from the body without cause for alarm, but at times it can build up in high levels, indicating an underlying health condition like non-alcoholic fatty liver disease, hepatitis, or alcoholic cirrhosis.  Here are four ways to lower bilirubin levels naturally and improve your liver health:  High bilirubin is usually a sign of liver problems  Bilirubin levels can act as a metric of liver health. For example, people who have serious cirrhosis, or liver scarring, often have elevated bilirubin levels because their liver is unable to filter toxins as efficiently. Liver conditions that can cause cirrhosis include:  Non-alcoholic fatty liver disease  Alcoholic cirrhosis Hepatitis  Gallstones  However, some conditi...

A committee of neonatologists, hospitalists, general pediatricians, a nurse, and breastfeeding experts worked from 2014 through 2022 to evaluate new evidence to inform the revised guidelines The American Academy of Pediatrics has revised clinical guidelines on treating infants born at least 35 weeks into pregnancy for hyperbilirubinemia. For most babies, hyperbilirubinemia leads only to jaundice, a yellow appearance to the skin and whites of the eyes. However, very rarely, it can lead to severe complications affecting the brain. The "Clinical Practice Guideline Revision: Management of Hyperbilirubinemia in the Newborn Infant 35 or More Weeks of Gestation," published in the September 2022 Pediatrics (published online Aug. 5) incorporates new research findings on risk-assessment and treatment. The guideline updates and replaces the 2004 AAP clinical practice guideline for the management and prevention of hyperbilirubinemia. A technical report, "Diagnosis and Managemen...

Jaundice in newborn babies is common and usually harmless. It causes yellowing of the skin and the whites of the eyes. The medical term for jaundice in babies is neonatal jaundice. Yellowing of the skin can be more difficult to see in brown or black skin. It might be easier to see on the palms of the hands or the soles of the feet. Other symptoms of newborn jaundice can include: dark, yellow urine (a newborn baby's urine should be colourless) pale-coloured poo (it should be yellow or orange) The symptoms of newborn jaundice usually develop 2 days after the birth and tend to get better without treatment by the time the baby is about 2 weeks old. Find out more about the symptoms of jaundice in babies ...

stock photo/Pixabay MONTGOMERY, Ala. – The American Academy of Pediatrics (AAP) has provided additional details regarding safe sleep in its recently published policy statement, " Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment ."   The ABCs of safe sleep still apply:  A lone: nothing but baby—babies should not sleep on the same surface with anyone else and there should be no loose items, such as soft toys, blankets or bumper pads in their cribs  On their  B ack: for every sleep at bedtime and for naps  In their  C rib: always return the baby to his/her own sleep area—not in adult beds, even for naps  The new guidelines have added more details with much focus on the baby's sleep surface, which should be firm and flat. The guidelines specifically recommend against inclined sleep surfaces, which have been connected to se...