Originally Posted by Kim919
If one parent has O blood type and the other has A, the baby has a very high chance of having "early onset jaundice" (there is another name for it too)
Yes, they call it AB/O incompatibility. I'm O+ and DH is A+, but neither of our kids have had it (my second developed jaundice, as you'll read, but it wasn't THIS type). . . they run a test called a Coombs test to check for it. I'm not sure if it's routine to check this or not--both my kids had a "reason" for them to check.
My first was born with the help of the vacuum and had a horrible, perfectly round bruise on his head, so they monitored him closely for jaundice (which he never developed).
My second was born (after a membrane stripping--never again!) at 39w4d and came out looking and acting like a 37 weeker. I had a ton of trouble getting her to breastfeed properly and she lost too much weight and got dehydrated. She developed case of physiologic jaundice and was yellow for the first 5 or 6 weeks of her life. She was actually readmitted to the hospital at 1 week of age because she was so sleepy and lethargic we couldn't get her to eat (and believe it or not, she was born in JUNE in CA and it rained almost the entire first week of her life, LOL. No sun!). Her bili got up to 19.6 which is fairly high (I think 21 is considered "dangerous"). After 24 hours of fluids and lights, her levels dropped down to 11, but they rose back up to 15 within 24-48 hours before they finally
started dropping on their own.
The whole thing was a nightmare! The doc told me that babies are generally born with an immature liver and it takes a few days for their liver to start kicking out an enzyme that processes bilirubin--which is why so many of them develop it. You can imagine in a baby who is early even by a little bit is more susceptible. Hence the reason I will NEVER consent to any induction methods again unless there's a sound medical reason for it!
Oh, and something else crazy? They checked her bili when we left the hospital at 24 hours and it was an 8. I can't recall the name right now, but there's actually a chart that can predict their risk of jaundice based on early reads. 8 was quite high for 24 hours and put her in the "high risk" category. . . and nobody caught it, probably because we'd been transferred to peds due to overflow on the OB ward. Granted it was a transdermal reading, but my mom, who is an OB nurse at that hospital, said that the reading should have been caught and double checked. Last summer I sat in the session on jaundice at the LLLI conference in Chicago and looked at this chart that the presenter distributed and was horrified. She followed the trend perfectly. When I asked my mom about it later, she said that they do indeed have those very charts available for their use!