Many mothers have heard before giving birth that if the blood type of the baby and the mother are different, it will lead to neonatal hemolysis, so they are very worried.
Neonatal hemolysis refers to the fact that the mother and the newborn baby have different blood types, causing a hemolytic reaction in the baby's body, the most common is ABO hemolysis, followed by Rh hemolysis (Rh hemolysis has a lower incidence in the mainland). Sick babies may experience symptoms such as severe jaundice, anemia, or hepatosplenomegaly.
To judge whether the baby has hemolysis in newborns, you can see from the following aspects:
Take a look at the blood type of the parents
The main reason for the hemolysis of newborns is because the mother is O type blood, and the baby's blood type is A or B type, which is also called ABO hemolysis, and if the mother is AB type and the baby is O type, hemolysis will not occur.
There is also a kind of Rh hemolysis, mainly the mother is Rh-negative, and the baby is Rh-positive and the hemolysis is produced.
If the mother is not type O blood or Rh yin blood, you do not have to worry about the baby's hemolytic reaction.
Second, look at the baby's symptoms
jaundice
Generally, if the baby has a hemolytic reaction, then a very obvious symptom is that the skin will soon appear yellow staining, Rh hemolysis is generally within 24 hours or even 12 hours, and ABO hemolysis is generally within 2-3 days, there will be very serious skin yellow staining symptoms.
If you feel that just looking at the skin can not judge whether it is born yellow or yellow because of the yellow skin staining, then parents can observe the baby's white part of the eyes, if the whites of the eyes also turn yellow, it means that the yellow staining.
anaemia
In general, the degree of anemia varies. Some babies may not develop anemia until 3-6 weeks after the baby is born because of the persistence of antibodies in the body, while some severe Rh hemolysis will cause severe anemia or heart failure symptoms as soon as the baby is born.
Hepatosplenomegaly
This symptom mainly appears in babies with Rh haemolytic disease, and babies with ABO hemolysis generally have no obvious symptoms.
If the baby has an unfortunate hemolytic reaction, how should parents take care of it?
Under normal circumstances, most babies with ABO hemolysis are relatively mild, only need to do a good job of monitoring and treatment in time, generally there will be no bad situation, parents only need to pay attention to the following points in daily care:
breastfeeding
Even if the baby has a hemolytic reaction, breastfeeding is still recommended. Giving your baby plenty of breast milk, or formula, so that your baby can urinate and pull foul odors normally, can help the jaundice subside.
Some babies will have weak sucking during jaundice, parents should be patient and reasonable feeding, such as a small number of meals, or intermittent feeding, etc., be sure to let the baby drink enough milk.
Pay attention to monitoring
Monitor your baby's symptoms
Parents need to strictly and closely observe the baby's body temperature, breathing, edema, milk drinking, jaundice, drowsiness, etc., and if there is heart failure, respiratory failure or convulsions, they need to go to the hospital in time.
Monitor percutaneous bilirubin
If the mother is still hospitalized, it is necessary to monitor the value of percutaneous bilirubin according to the doctor's requirements in order to keep abreast of the baby's condition changes.
Even after discharge, continue monitoring as directed by your doctor until your baby's percutaneous bilirubin falls to a safe range.
Blood routine
All babies who develop a hemolytic reaction need to monitor their blood routine to determine if anemia is caused by hemolysis and, if necessary, iron supplementation for treatment.
In daily care, if the baby has these symptoms, go to the hospital in time:
Jaundice is severe
Parents find that the symptoms of yellow skin staining of the baby have worsened, or the whites of the eyes have begun to turn yellow, so they need to send them to the hospital in time.
Begins drowsiness
Your baby is drowsy and doesn't wake up after drinking milk, urinating, or even pulling a foul smell.
Start convulsing
Some babies have reduced milk and refuse to eat; some babies will have straight eyes, straight limbs, screaming, head back, and fists clenched.
Fever is present
When the body temperature of the baby's armpit is found to exceed 37.2 °C, or the forehead, ear and temperature exceed 38 °C, it is necessary to consult a doctor in time.
Usually, as long as the baby is monitored and given light therapy to reduce yellowing in time, jaundice will gradually subside after 1 to 2 weeks, and there will be no sequelae, and parents can relax their minds.
However, if the treatment is not timely, it may leave sequelae, such as: affecting the body and eye movement ability, hearing, tooth development, and may even cerebral palsy, epilepsy and so on.