Hi Niki,

My understanding from ABO incompatibility is the mother is O positive and the baby is either A, B, or AB positive.  This all sounds like normal physiological jaundice to me with over medicalisation.

The clear fluids are just going to get in the way of excreting bilirubin and establishing breastfeeding.

There is nothing like breastfeeding to create plenty of poop!

Karen Palmer
Midwife and IBCLC
New Zealand

> 
> From: milburn1 <[log in to unmask]>
> Date: 2005/10/25 Tue PM 04:08:04 GMT+13:00
> To: [log in to unmask]
> Subject: blood incompatibility
> 
> Hi Niki,
> 
> Look for information on ABO blood incompatibility.  This is not the same as 
> the RH factor.  You can find some general good blood info here: 
> http://users.rcn.com/jkimball.ma.ultranet/BiologyPages/B/BloodGroups.html 
> Babies who are jaundiced, as frequently results from ABO incompatibility, 
> are often sleepy as well.
> 
> Are you able to clarify which condition is of concern?
> 
> My guess is that the ped is banking on pathological jaundice and is 
> suggesting the Pedialyte to help "flush out" the jaundice, if this is ABO 
> incompatibility.
> 
> Good luck, and keep us posted!
> 
> Warmly,
> Tallis in sunny NM, btdt  :)
> ----- Original Message ----- >
> > Wise Ones;
> > Please help me out. I have a client (permission to  post) w/a 6 day old 
> > (40
> > wk) baby. 7#5oz at birth, 6#9oz low point(at day 5-8.5%loss), 6#11oz today
> > (day six). Mother overheard Ped telling nurse that dyad had a "blood
> > incompatibility"-she states that she is O+, baby is O-, but there was no
> > transfusion or discharge instructions given to mother regarding Rh
> > incompatibility. Baby's bili level was 12 at 72 hours, and then 18 at 144
> > hours. I know that these levels are not considered dangerous for the
> > healthy newborn, but am having difficulty translating the risks for an
> > infant with hemolytic disease. I understand that the AAP guidelines do not
> > apply to pathological issues.
> 
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