Question

A full term female neonate was born to a 21-year-old woman of Mediterranean descent. The baby was found to have icterus at 4 hr. after birth. Upon noticing this, several laboratory tests were ordered.    

   

Laboratory Test Results:    

The neonate’s red cells typed B, Rh+, while the mother’s red cells typed O, Rh=.

A blood smear showed changes typical of hemolysis.

A screen for fetomaternal hemorrhage was negative.

The baby’s G6PD activity was normal.

Sickle cell test had negative results.

An infectious disease evaluation was negative.

Day 1 Serum Bilirubin was 10mg/dl. Day 2 Bilirubin was 12 mg/dl. Day 3 Bilirubin was 14 mg/dl.

Explain fully the following questions:

     What is the diagnosis of the neonate’s condition?

     What is the treatment for this condition?

     What needs to be done for the mother?

What can be done to prevent this condition with future children?

Answer 1

મી. = * What is the diagnosis of the neonate's condition & RH incompatibility The condition is known as Neonatul Jaundice es a yellowish dis coloration of the white part of the eyes and Skin in a newborn baby due to high bilirubin levey the treatment for this * What is condition : Treatments bilirubin in L include: to lower Neoncit es's the level of blood may Phototherapy Clight therapy) a Baby may be placed under a special lamp that emits light in the blue-green spectrum It is used to treat newborn Jaundice by lowering the bilirubin levels in baby's blood through a process called photo - oxidation. This makes it easier for your buby's lover to break down and remove the bilirubin from their blood

(2) Intravenous immunoglobulin unig) Exchange transfusion Treatment of Mother: Spectal immune globulins, called Rhogam, are now led to prevent RH incompatibility in mother who o RH- Negutive Mother will receive RhoGAM betwe 126 and 28 weeks of pregnancy It baby is found to be RH. Positive at birth, you will receive an cidditional dose within 2 Hours a delivery