Patient's question:
The baby is over 50 days old, and the jaundice hasn't completely subsided. The doctor wants to rule out "ABO hemolytic disease." I am type AB blood, my husband is type B, and the baby's blood type is unclear. I have had a history of miscarriage. Could the baby have ABO hemolytic disease?In the afternoon, the doctor asked me to have the baby tested for liver function and a liver and gallbladder ultrasound tomorrow. If there are issues with these tests, what treatment should be administered?
First follow-up question: If the jaundice is not caused by nuclear jaundice but by other reasons, will it affect the baby's intelligence?
Doctor's answer:
Hello, the normal value for neonatal jaundice is based on the reference index of serum bilirubin. As long as full-term infants do not exceed 204 μmol/L (12 mg/dL) and preterm infants do not exceed 255 μmol/L (15 mg/dL), it is considered normal. Children with physiological jaundice, in addition to yellowish skin, have little impact on appetite and mental state, and symptoms generally resolve automatically within one month. Children with pathological jaundice not only have skin changes but also usually cry, fuss, and refuse to feed. In such cases, parents must take their child to the hospital for treatment as soon as possible, otherwise it may lead to kernicterus.