Re: Jaundice and meconium; Minimum service levels

Yes I agree Leigh, it is the jaundice in the first 24 hrs that is concerning with this baby and hopefully the concern with meconium passage was not a red herring. It does seems that the obvious potential causes of hemolysis in the baby (and hence, jaundice): Rh factor and ABO incompatibility we

Jaundice and meconium; Minimum service levels

Lack of passage of meconium in the first 24 hours may well contribute to rising jaundice but jaundice in the first 24 hours is an abnormal finding that requires general assessment of the baby.  I would be concerned that if the first thought was about meconium or lack of it, maybe other thing

Re: Jaundice and meconium

Went to an ALCA Vic seminar years ago and a guest spoke on jaundice. Can't remember the exact number but there is a lot of bilirubin in meconium - he said it in mg - so it makes sense that delay in getting rid of it means it can be reabsorbed. If I find a baby still passing mec on day 3 I want t

RE: Jaundice and meconium

[SMTP:[EMAIL PROTECTED]] Sent: Monday, March 11, 2002 4:11 AM To: [EMAIL PROTECTED] Subject:Jaundice and meconium 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 jaun

Re: Jaundice and meconium

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

Re: Jaundice and meconium

Maybe the problem is in the phrase "looking jaundiced". Its not a very scientific basis on which to diagnose a pathological problem. Don't know about the meconium 's effect at such an early time. I await further input. Cheers, MM -- This mailing list is sponsored by ACE Graphics. Visit

Re: Jaundice and meconium

Dear Kirsten: I am with you in that the jaundice by 24hrs seems a little early to be blaming it on unpassed mec. I have seen p(a)eds here (USA, Seattle and one in California) give suppositories to babies who are a little lethargic and yellow on days 4 or 5, however the first 24 hrs is a diff

Jaundice and meconium

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