NEONATALOGY

Breastfeeding jaundice and Breast milk jaundice breastfeeding Jaundice and breast milk jaundice are exaggerated physiological jaundice. There is unconjugated hyperbilirubinemia. If direct or conjugated hyperbilirubinemia is present, alternative diagnosis must be explored. Related to quantity i.e. volume of milk MECHANISM:Decreased gut motility and increased reabsorption Usually occur < 7days TREATMENT: Increased feeding or formula supplements

Different Types of Formula Milk”: 2024 Cow’s milk based formula milk (with lactose) for term baby Cow’s milk based (without lactose)for term baby Lactofree Similac (NA IN INDIA) Useful for transient lactase deficiency or lactose intolerance  Premature formula: cow’s milk (reduced lactose) Similac Special Care Enfamil Premature  Indicated for premature and LBW infants. Fat is

Combined apgar score  is a new concept APGAR score APGAR score component The Apgar scoring system is divided into 5 categories. Each category receives a score of 0 to 2 points. Maximum score is 10 and minimum is 0. Most of babies do not have score of 10  because they have blue hands or feet