HI all,

A question for the more phyisiologically minded amongst us. I was caring for
a mother-baby the other day. At about 24 hours of age the baby already was
looking jaundiced, and had not pooped. The OB nurses I work with seem to
think that BECAUSE the baby had not yet passed mec, that was why he was
looking jaundiced, which just didn't sit right with me, particularly at 24
hours of age. So they stimulated the rectum with a thermometer, and got a
nice cot full of the best black stuff, which made them happy. They told mum
t hen that everything should be fine because the baby had pooped now. I
reinforced to mum frequent breastfeeding, and also quickly reviewed blood
group for ABO incompatability (mum was B+).
ANYWAY, my question is, particularly at such an early age was the connection
reasonable? The theory seemed to be that the bilirubin was being reabsorbed
from the gut and causing jaundice, which doesn't sound 'right' to me.
Thoughts, oh wise ones?

Kirsten Blacker
infliciting her crazy Australian ways on the unsuspecting American public in
Minnesota, USA.
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