Patient's question:
Baby is 7 days old, total bilirubin is 308.02. Mother has O blood type, father has A blood type, baby has O blood type. What kind of jaundice is it, physiological or hemolytic, or pathological?Doctor's answer:
Both the mother and child are Type O blood. The test results indicate no anemia and do not support hemolysis. There is a significant decrease in bilirubin, indicating pathological jaundice. Postnatal physiological destruction of red blood cells leads to elevated serum bilirubin. If the child's bilirubin metabolism is slow, with repeated enterohepatic circulation causing excessive reabsorption of bilirubin, jaundice will occur. It is necessary to rule out factors such as infection, skin breakdown, aspiration, and congenital hypothyroidism. The decrease in indirect bilirubin is the primary concern, and phototherapy is recommended.