Hi Sue,
My experience with this (and advice from neonatologists), in a term healthy
baby, is that you observe as any other jaundice and dont have to be extra
aggressive. For the few direct coombs pos babies I have watched p/n at home
there was no sudden increase in jaundice although obviously the fully breast
feed ones took a bit longer to clear. Suzi
----- Original Message -----
From: "Sue Cookson" <[EMAIL PROTECTED]>
To: <ozmidwifery@acegraphics.com.au>
Sent: Friday, February 17, 2006 7:59 AM
Subject: [ozmidwifery] Direct Coombs positive
Hi all,
Just wondering if any of you have experience with babies who come up with
a poistive Direct Coombs test?
A cord blood sample from a newborn showed baby was A pos with anti-A
antibodies - they would have been passively transferred from the
O neg mum.
It's pretty likely therefore to be an ABO incompatibility which seems to
be a minor issue.
Have done a few bilirubin levels which are all way under the range for
even phototherapy (58 hours was 215), but the GP involved is being really
precious about it all - as if it's likely the baby will suddenly set up
major problems.
Obviously baby is feeding well, alert, only mildly jaundiced by
observation, well and truly cleared his mec...
Any comments??
Sue
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