I just finished my postpartum rotation. We had a 36 week old baby with a trancutaneous bilirubin reading of 7.0 @ 24hours (nurse told me 7.0 was higher than they would like to see for a baby at this age). A serum bili was ordered and it came back at 6.3 so the doctor did not order any interventions....Since the baby was a premature baby, and at 6.3 serum bili, would they order another bilirubin reading to make sure it's not rising before the baby leaves the hospital? Or do they only check it at 24hrs?
If the baby was bumped, after the 24hr bilirubin was checked, and had gotten a bruise, would that raise baby's bilirubin to a point that it could be very severe/life threatening?
The baby was having troubles with breastfeeding as well. Do they check levels a few days after the baby goes home? I'm so confused because jaundice is so common, especially in a premature baby, with breastfeeding issues. I wonder how often they do checks to make sure that the levels are not rising?? Anyone able to fill me in? Thanks!!
Lot's of questions..