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Which of the following regarding the reason for a very high load of bilirubin in a newborn is/are correct?
1. The liver of the newborn is too young to cope with the heavy load of bilirubin.
2. Excessive red blood corpuscles in the newborn burst- releasing the bilirubin.
3. Insoluble bilirubin in the intestine is reabsorbed by the blood.
4. Mother's milk contains a high amount of bilirubin.
Select the correct answer from the codes given below:
Only one statement is correct
Only two statements are correct
Only three statements are correct
All statements are correct
Only statements 1,2&3 are correct.
The liver is still developing in a newborn, hence, the load of bilirubin might be high due to slower metabolism as well. Higher rates of RBCs or red blood cells in newborns result in increased bilirubin in their system. The short life of the corpuscles also adds up to the bilirubin production.
New Borns have an immature hepatic system for the uptake, conjugation, and secretion of bilirubin.
Neonates do not have enzyme UDP glucurnyl transferase, due to this hydrolysis of conjugated bilirubin increases, which is then reabsorbed by the intestine and recycled into circulation.
However, Mothers milk does not contain a high amount of bilirubin, it is rich in protein, sugar, vitamins and minerals. But there is an another type of jaundice called Breast Milk Jaundice that persists after physiologic jaundice subsides in an otherwise healthy baby.
"Breast milk Jaundice" must also be differentiated from "breastfeeding jaundice", which is caused due to insufficient intake of milk. As an adequate amount of milk causes an increase in baby's bowel movements and helps in secreting the buildup of bilirubin.
Hence option 1st is correct.
By: Abhipedia ProfileResourcesReport error
Sojhak Chakma
3
Corrected
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