FYI:
Maternal factors associated with increased bilirubin
diabetes, hypertension, oral contraceptive use at time of conception, first
trimester bleeding, decreased plasma zinc level.
Drugs administered to mom-valium, oxytocin, epidural.
Labor & delivery factors:
PROM
forceps delivery, vacuum extraction, breech delivery, all R/T bruising
Infant factors:
low birthweight, prematurity, male, infection, increased weight loss after
birth, delayed cord clamping, low serum zinc & magnesium, breastfeeding,
caloric deprivation, decreased fluid intake, delayed meconium passage (we
all know what to do about the last few!)
Race: Oriental, American Indian, Greek
Factors associated with decreased bilirubin:
Black race, maternal smoking[!], drugs given to the mother-phenobarbital,
meperidine, reserpine, aspirin, chloral hydrate, heroin, phenytoin,
antipyrine, alcohol.
No association with increased bilirubin:
parity, beta-adrenergic drugs given to mother, fetal distress, low apgar
scores.
These were gleaned from lots of reading of studies on bilirubin.
So you really don't want to be a puny, early, baby boy, whose diabetic,
nervous mom has an epidural, necessitating use of forceps! - unless she
smokes and drinks!!! ;-P Sincerely, Pat in SNJ
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