Kirsten, Quickly and off the top of my head

Bilirubin is reabsorbed from the bowel raising bilirubin levels in the 
foetus but is cleared from the system by the placenta and the developing 
foetal liver etc. After birth the placenta is lost to the neonate making 
it solely responsible for its own clearance of bilirubin.  The sooner 
mec is passed then this source of reabsorption is lost and this is one 
very important reason why early breastfeeding is so important. Can 
bilirubin levels rise enough from this source alone to make the baby 
jaundice in the first 24 hours? Possible but less likely than other 
reasons such as ABO which is more usual in the first 24 hours.  Good 
source of info Blackburn & Loper (1992) Maternal. Fetal & neonata 
Physiology: A clinical perspective,  Saunders

Andrea Quanchi

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