Can hypoglycemia cause jaundice?

Can hypoglycemia cause jaundice?

If untreated, low blood sugar can cause serious problems for your newborn. Jaundice is a yellowing of the skin caused from a waste product of red blood cells called bilirubin. While your baby is in your womb, he needs a large supply of red blood cells.

What are the common complications of phototherapy?

The short-term side effects of phototherapy include interference with maternal-infant interaction, imbalance of thermal environment and water loss, electrolyte disturbance, bronze baby syndrome and circadian rhythm disorder.

Why is phototherapy contraindicated in conjugated hyperbilirubinemia?

It is the underlying condition that determines the infant’s prognosis. It is not normally necessary to treat the jaundice as the conjugated form is not toxic, but also because phototherapy given to such babies causes the “bronze baby” syndrome.

How does phototherapy work for hyperbilirubinemia?

Phototherapy is treatment with a special type of light (not sunlight). It’s sometimes used to treat newborn jaundice by lowering the bilirubin levels in your baby’s blood through a process called photo-oxidation. Photo-oxidation adds oxygen to the bilirubin so it dissolves easily in water.

Can high blood sugar cause jaundice?

Often these infants are born with jaundice, a yellowish discoloration of the skin due to an abnormal breakdown of blood products. A new study has found an association between this form of jaundice in newborns and a higher occurrence of diabetes that starts in childhood, also known as type 1 diabetes.

Why does gestational diabetes cause neonatal hyperbilirubinemia?

The causes of hyperbilirubinemia in infants of diabetic mothers are multiple, but prematurity and polycythemia are the primary contributing factors. Increased destruction of red blood cells contributes to the risk of jaundice and kernicterus.

Why does phototherapy cause Diarrhoea?

The high concentration of bile salts found in the colonic contents of neonates during phototherapy would appear to be a factor in the pathogenesis of phototherapy-associated diarrhea in the jaundiced neonate.

When does kernicterus occur?

In most cases, the syndrome characteristic of kernicterus develops by three to four years of age.

Does phototherapy conjugated bilirubin?

PHOTOTHERAPY. The only contraindication to the use of phototherapy is conjugated hyperbilirubinemia, as occurs in patients with cholestasis and hepatic disease. In this setting, phototherapy may cause a dark grayish-brown discoloration of the skin (bronze baby syndrome).

What causes neonatal hyperbilirubinemia?

Hyperbilirubinemia happens when there is too much bilirubin in your baby’s blood. Bilirubin is made by the breakdown of red blood cells. It’s hard for babies to get rid of bilirubin at first. It can build up in their blood, tissues, and fluids.

Does phototherapy conjugate bilirubin?

Phototherapy: a treatment for jaundice where the exposure of skin to a light source converts unconjugated bilirubin molecules into water soluble isomers that can be excreted by the usual pathways.

What are the indications for phototherapy?

Indications

• Psoriasis.
• Chronic Eczema.
• Mycosis Fungoides.
• Vitiligo.
• Polymorphic Light Eruption.
• Cutaneous Graft Versus Host Disease.
• Generalized Lichen Planus.
• Other Indications.

How to treat hyperbilirubinemia in the newborn infant?

Perform a systematic assessment on all infants before discharge for the risk of severe hyperbilirubinemia. Provide parents with written and verbal information about newborn jaundice. Provide appropriate follow-up based on the time of discharge and the risk assessment. Treat newborns, when indicated, with phototherapy or exchange transfusion.

When to use phototherapy for pathological jaundice?

Jaundice owing to ABO incompatibility usually appears 24 h after the birth. In the presence of significant jaundice or jaundice appearing within 24 h, the work up for pathological jaundice should be done ( 44 ). Intensive phototherapy is advised at SB 12–17 mg/dl depending upon postnatal age of the baby.

Where can I find research on hyperbilirubinemia?

The main databases including Scopus, Pubmed, MEDLINE, Google scholar and Science Direct were researched to obtain the original papers related to the newborns’ hyperbilirubinemia. The main terms used to literature search were “newborns’ hyperbilirubinemia”, “newborns’ jaundice”, “Physiological Jaundice” and “Patholigical Jaundice”.

Can a jaundice baby continue to breastfeed after phototherapy?

Interrupting breastfeeding as part of hyperbilirubinemia therapy is associated with an increase in the frequency of stopping breastfeeding by one month (evidence level 2b) (30). Continuing breastfeeding in jaundiced infants receiving phototherapy is not associated with adverse clinical outcomes (34).