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Discussion Starter · #1 ·
Hi Everyone,<br><br>
My firsts two babies were both unmedicated homebirths and started showing signs of jaundice around the 24hr mark with tinging of the eyes by the 48hr mark. Blood and genetic testing have been done and there are no known incompatabilities. I've put a brief history of the treatment of both babies at the end of this post for reference. We are expecting baby number 3 again here in the UK and I'm concerned about jaundice and have a few questions...<br><br>
1. I'm wondering if we should consider immediate clamping of the cord to prevent overtransfusion, since we have a history of jaundice in prior siblings?<br><br>
2. Also considering using charcoal immediately but am unsure if activated or deactivated is best?<br><br>
3. Does anyone know what acceptable levels are in the first 24hrs, 48hrs etc. on a full term infant?<br><br>
4. Should I refuse ped appt in the first 48rs to give home remedies time to work so we don't end up being admitted when all baby needed was time?<br><br>
This was what happened with my first two...<br><br>
Baby #1 was a unmedicated homebirth in US. We had a proactive midwife who sent us straight out under a big tree in our yard and baby was kept in indirect sunlight for the entire day and again the next day. He was born on a Friday morning, showed yellow skin by Saturday morning with tinging of the eyes overnight Saturday but his levels had dropped to normal by ped appt Monday morning.<br><br>
Baby #2 also unmedicated homebirth but in the UK. Midwife arranged follow-up day after birth with ped at hospital where levels were already elevated. A mistake was made transcribing the notes of the ped to the hosp chart and so baby was charted on a 37 wk chart instead of 39wk. We had a week of hell with multiple lights, unable to hold baby for 3 days, talks of blood transfusions, hospital pushing formula because my milk hadn't come int yet etc, all because he was charted on wrong gestation chart. Figured it out and 2AM one morning while discusing with ped how my baby might have a severe genetic problem, might need total blood transfusion, could die! and she mentioned about him being 37wk term. I said he was 39+1 and she got a horrified expression on her face, went out and recharted on the correct chart and found he could have been sent home 6 days before <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/angry.gif" style="border:0px solid;" title="angry"><br><br>
Any advice would be greatly appreciated.<br><br>
Thanks,<br>
Mel
 

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Let baby nurse nonstop. Even if your milk hasn't come in, the colostrum can help, as I understand, in terms of flushing out baby's system.<br><br>
Hopefully others can help with more info for you so you can avoid what happened before.<br><br>
Good luck, mama!
 

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Jaundice isn't necessarily a bad thing. My DS was born at home, delayed cord clamping (it was over an hour before we cut the cord), and ended up getting jaundiced, yellow tinging of the eyes and everything, but he was very alert for such a tiny baby and nursed like a champ. I'm not an expert, but I think as long as they're not lethargic and nursing a lot there's really no danger.
 

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Pretty much all babies where I live are jaundiced at least a little because we live at altitude. My last baby followed the same course as your first and it cleared within a week or so.<br><br>
From what I have read, unless the yellow is above the nipples or really severe, you don't need to consult a ped or do anything more than nurse on demand and do exposure to indirect sunlight. Can you talk to your midwife about her protocols for referring to the ped, or is it the same midwife as last time? We did take DD to the ped at a few days old and he saw that she was a little jaundiced but they never tested her levels. but maybe things are that different in England? Does being so far north affect anything, sunlight wise? Sorry if that's a really dumb question!
 

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Discussion Starter · #5 ·
Hi Amie,<br>
Yes it is the same midwife, though we are on the NHS so the actual midwife who attends the birth may be different but my main midwife will be the one who follows-up the next day. I am going to discuss it with her. She was very supportive of my choices last time. My son was diagnosed at the 22wk scan with a cleft lip and we had to see an OB who tried to force us into a hospital birth. My midwife told me that she had to officially agree with what the OB told me but (and this was said with very intense eye contact so I got the point that she did really support my choice but couldn't say) I couldn't be forced to birth at the hospital and it was my choice, if I decided to birth at home against medical advice, she was still required to attend the birth. The day I had my son they were calling all planned homebirths into the hospital due to heavy snow but my midwife personally called the on-call midwife and asked her to come to me at home. She arrived just in time to set up her gear and catch my son. DS2 was born in Feb so we were affected by being further north in that the sun didn't come up until around 9AM and completely set by 4PM and it was overcast most days. I actually planned this baby for summer so we had maximum sun time (up at around 4AM and not down till 10PM) and hopefully bright weather so baby can get sun exposure. It was so hard after fighting tooth and nail to get a homebirth with DS2 to then have him in hospital for a week and not be able to hold him and then find out the whole thing was a clerical error. I want to do everything in my power, without endangering my baby, to keep this one out of hospital all together!<br>
Mel
 

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Huh, jaundice that early usually has a cause, has anyone guessed what it might be? For my older daughter, it was hypoxia due to her heart defect. My younger (who was at risk due to a blood incompatibility) didn't end up having the problem even though she was more at risk, because her blood oxygen levels were better.
 

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<div>Originally Posted by <strong>CallMeMommy</strong> <a href="/community/forum/post/12357471"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Jaundice isn't necessarily a bad thing. My DS was born at home, delayed cord clamping (it was over an hour before we cut the cord), and ended up getting jaundiced, yellow tinging of the eyes and everything, but he was very alert for such a tiny baby and nursed like a champ. I'm not an expert, but I think as long as they're not lethargic and nursing a lot there's really no danger.</div>
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I agree that pathological jaundice is not a big deal. I think it's so common that there must be a normal, beneficial biological reason for it.<br><br><a href="http://kidshealth.org/parent/pregnancy_newborn/common/jaundice.html" target="_blank">http://kidshealth.org/parent/pregnan.../jaundice.html</a>
 

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I'm really curious and hope not to offend, but I have to ask. Are OBs/nurses/midwives more fearful of jaundice in the UK compared to the US?<br><br>
In a UK hospital, a relative's son was taken away and put under lamps for hours. The weird thing is she told me they said it was really "minor" jaundice so I don't get why it was necessary (he looked healthy in his birth shots—no yellow in eyes or skin as far as you could tell). They told her it was caused by an RH incompatibility, but they gave her shots throughout the pregnancy so it really doesn't add up.<br><br>
I never heard of anything happening like this locally to any of my friends/family—even at really mainstream hospitals (though maybe it could be happening in the US elsewhere—or the ppl I know are just lucky). Given that minor cases of it are so treatable with BFing and sunlight, I'm just curious why it causes such panic?
 

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Both my babies were jaundice. DS (my second) was tested three times to check his levels. He ended up not needing treatment for it though. DD was tested twice and also did not need treatment. I exposed them to sunlight a bit everyday. I'm not sure if it helped but it's suppose to.
 

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My last one had jaundice and the midwife wasn't concerned at all. She said it was extremely common and to nurse lots and it should clear up within a week or two. And it did.
 

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<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>CallMeMommy</strong> <a href="/community/forum/post/12357471"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Jaundice isn't necessarily a bad thing.</div>
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Jaundice so soon after birth and so deep as the OP describes it <i>is</i> a bad thing.
 

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Our Dr recommended putting DD2 naked in front of a window, just keep track of how hot/cold she is. Sunlight is the best alternative to a bililight.
 
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