Can Tho Children’s Hospital has just successfully conducted a blood exchange for a premature baby born with low birth weight and severe jaundice.
Baby boy H, 5 days old, born normally at 34 weeks, jaundice, weighing 2,400 grams, at a hospital in Can Tho City.
At the Neonatal Resuscitation Department, the on-duty doctor of Can Tho City Children’s Hospital received the baby with a very serious condition, lethargy, severe jaundice, dirty umbilical cord, mild chest constriction in breathing, blood bilirubin test. of the baby increases, infections increase.
Determining that this was a case requiring an urgent blood exchange, the doctors consulted with the head of the neonatal department and came to the decision to replace the baby’s whole blood at night, along with other active treatment: phototherapy. Continuous jaundice on both sides, intravenous antibiotics, total intravenous nutrition.
After 24 hours, rechecking the baby’s blood bilirubin level has decreased significantly and the baby’s health has gradually improved.
13 days after treatment, after receiving MSc. Diep Loan, Head of the Department of Neonatology, carefully examined and closely monitored the mental health and vital signs. The baby was discharged home and was advised to have a follow-up examination to further monitor the neurological problems of premature birth. Baby’s movements until 40 weeks of correction.
According to doctors at Can Tho Children’s Hospital, hemolytic neonatal jaundice due to ABO blood group incompatibility between mother and child only occurs when the mother’s blood type is O and the baby’s blood type is A or B, especially in mildly premature babies. If the child is overweight or has excessive jaundice, the poison will seep into the brain, causing irreversible neurological complications and even death.
Total blood exchange is a mechanical measure to quickly remove bilirubin that has been formed in the blood, as well as quickly remove from the child’s body red blood cells that are attached to antibodies or have been partially broken, a large amount of antibodies causing Hemolysis in children in cases of blood group incompatibility and helps treat anemia.
Antwan Haag