On 07/05/2012 15:57, Norma Ritter wrote:
> PTP
> A woman who is pregnant with her third child has been diagnosed with
> anti-E-iosoimmunization. (She is a carrier, and so is this baby's father.
> Her other children are by a previous marriage and were not affected.)
> This is, apparently, a very rare condition, which could lead to severe
> jaundice in a newborn. She is looking for information on management of her
> pregnancy and breastfeeding. Almost all of the information online require
> journal subscriptions, and breastfeeding is not even mentioned. Is there
> anything else she should be aware of beyond the usual jaundice management.
> She is committed to nursing this baby.
> Please email me privately as well as to the list if you have any
> information that can help.
>
Just a quick pointer - have you tried looking up 'hemolytic jaundice' 
generally?  I doubt the specific cause of the haemolytic jaundice 
(sorry, I'm from the UK so spell it that way ;-) ) would be relevant as 
far as breastfeeding management goes - I would expect that it would be a 
matter of knowing how to handle breastfeeding in a situation where 
phototherapy and possible exchange transfusions are needed and where the 
baby may well be drowsy/floppy, and that looking for advice on 
breastfeeding in hemolytic jaundice would get you a lot more information 
than looking for that particular subtype.


Best wishes,

Dr Sarah Vaughan
MBChB MRCGP

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