PN care and jaundice in new borns

Question 1

Maternal death rates

Answer 1

• 4x higher in black women
• 3x higher in mixed ethnicity
• 2x higher in Asian women

Question 2

Neonatal death rates

Answer 2

50% higher in black and asian babies

Question 3

Before discharge

Answer 3

• Ensure mum passes urine
• Baby’s health
• If baby has not passed mec, tell parents to escalate if not passed within 24h from birth
• Ensure baby is feeding well (at least 1 observed feed)
• Consider safeguarding issues

Question 4

Babies with jaundice

Answer 4

60% term, 80% preterm
More likely if breastfed

Question 5

RF for jaundice

Answer 5

• Exclusively BF
• Sibling with jaundice prev

Question 6

Causes of jaundice

Answer 6

• ABO incompatibility
• haemolysis
• Sepsis
• Liver disease
• Metabolic disorders
• G6PD

Question 7

Checking for jaundice

Answer 7

• Check in natural light
• Examine sclera, gums and skin

Question 8

Mx of jaundice

Answer 8

• Check bilirubin levels
• Repeat in 18h if RF, if not 24h
• Phototherapy
• Check levels after 4-6h after starting
• 6-12h once dropping
• Exchange tx if very high levels