Patient's question:
Newborn jaundice is high, the eleventh day today, blue light for 5 days, jaundice level 14.2, with a 2-day interval without blue light, jaundice level 18.2. The mother is O-negative, the father is B-positive, and the baby is also B-positive. Why can't the jaundice go down? What are some good methods? Could it be pathological jaundice or hemolytic jaundice?Doctor's answer:
Hello, friend, based on the blood types of the mother and infant, ABO hemolysis may still occur. After blue light exposure, jaundice in the skin subsides, but hemolysis continues to produce jaundice in the blood, resulting in an overall lack of significant jaundice resolution. Diagnosis of neonatal hemolysis can be made based on hemolysis tests and blood tests for hemolysis antibodies. Continue blue light treatment, and if hemolysis is present, provide treatments such as intravenous immunoglobulin (IVIG) for antibody blockade.