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[5] [6] Quick and accurate treatment of neonatal jaundice helps to reduce the risk of neonates developing kernicterus. [7] Infants with kernicterus may have a fever [8] or seizures. [9] High pitched crying is an effect of kernicterus. [citation needed] Exchange transfusions performed to lower high bilirubin levels are an aggressive treatment. [10]
Infants were checked for clinical symptoms and laboratory signs of anemia 24 hours before and after the blood transfusion. The study found that groups 2 and 3 who had significant amount of blood loss, showed poor weight gain, pallor and distended abdomen. These reactions are the most frequent symptoms of anemia in very low birth weight infants. [8]
Hgb - the infant's hemoglobin should be tested from cord blood. [5] Reticulocyte count - Reticulocytes are elevated when the infant is producing more blood to combat anemia. [5] A rise in the reticulocyte count can mean that an infant may not need additional transfusions. [18]
Cytarabine also possesses antiviral activity, and it has been used for the treatment of generalised herpesvirus infection. However, cytarabine is not very selective in this setting and causes bone marrow suppression and other severe side effects. Therefore, ara-C is not a useful antiviral agent in humans because of its toxic profile.
Fetal hemoglobin, or foetal haemoglobin (also hemoglobin F, HbF, or α 2 γ 2) is the main oxygen carrier protein in the human fetus.Hemoglobin F is found in fetal red blood cells, and is involved in transporting oxygen from the mother's bloodstream to organs and tissues in the fetus.
The below tests are often useful in cases of hemolytic disease of the newborn but are not required for treatment of all newborns. Hgb — the infant's hemoglobin should be tested from cord blood. [6] Reticulocyte count — Reticulocytes are elevated when the infant is producing more red blood cells in response to anemia. [6]
Mothers who are negative for the Kell 1 antigen develop antibodies after being exposed to red blood cells that are positive for Kell 1.Over half of the cases of hemolytic disease of the newborn owing the anti-Kell antibodies are caused by multiple blood transfusions, with the remainder due to a previous pregnancy with a Kell 1 positive baby.
Reticulocyte count - Reticulocytes are elevated when the infant is producing more blood to combat anemia. [1] A rise in the retic count can mean that an infant may not need additional transfusions. [33] Low retic is observed in infants treated with IUT and in those with HDN from anti-Kell. [13]