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3/9/11

What is hemorrhagic disease of newborn

Hemorrhagic disease of newborn, also known as low blood disorder, such as vitamin k deficiency of prothrombin, is due to vitamin k deficiency in the body. Due to vitamin k after poor placental permeability, fetal uptake of vitamin k is small, so generally low vitamin k levels in the blood of infants at birth. Vitamin k deficiency, resulting in vivo coagulation factors (II, VII, IX, and x) biological activities cannot be started, cannot be involved in the coagulation process and easy spontaneous bleeding or bleeding after injury more than. Newborns have a tendency to hemorrhage occurs after birth. In addition, maternal liver and gall diseases; or taking vitamin k inhibiting drugs (such as anticonvulsants, such as anticoagulant drugs, isoniazid), vitamin k in the fetal body store less bleeding occurs after birth is more likely. Should be noted that breastfeeding infants opportunities for vitamin k deficiency bleeding occurs is 15-20 times the milk feeding infants because of vitamin k in breast milk is much less content than milk, breastfeeding and infant intestinal flora produce less vitamin k there is a relationship.


The disease occurs in the early neonatal, 2-4 days of common health, individual children can be made within 24 hours after onset. Hemorrhage in children with varying parts, for a single site, or for many bleeding, gastrointestinal bleeding up to see, characterized by vomiting blood or black discharge. Also be manifested in other forms of bleeding, such as the stump of the umbilical cord blood, skin bleeding, such as intracranial hemorrhage. When there is a minor hemorrhage, children generally is good, is often a lack of attention, sometimes easy failure condition. If the blood loss, and can occur in children with anemia if intracranial hemorrhage, the children with life-threatening, high mortality rate.


According to the time of onset of neonatal hemorrhage sooner or later divided into two types. Some children health Hou 24 hours within on onset, this and its mother during pregnancy suffers from Hepatobiliary disease, or prenatal medication, led fetal body vitamin k storage further reduced about, called early made sexual newborn bleeding syndrome; also has part children in newborn advanced (is is greater than 14 days) just occurs bleeding, this more due to in children with Department pure breast feeding, vitamin k intake insufficient caused by, so and called late made sexual vitamin k rely on coagulation blood factor lack bleeding syndrome. This type of bleeding commonly occurs in the brain, such as bleeding, site wide prognosis is very poor. Therefore, for exclusive breastfeeding of children, unexplained irritability, crying, easy irritation, appear pale, to timely medical treatment, the sooner the diagnosis and treatment, prognosis, the better. From this point of view, exclusive breastfeeding also has its negative side, should remind women\'s attention to the prevention of this disease during pregnancy.


In the prevention of hemorrhagic disease of newborn severe, while stressing the benefits of breastfeeding on infant at the same time, to remind the possibility of occurrence of neonatal hemorrhage. At present, hospitals and health departments have strongly encouraged breastfeeding, but we must not ignore the existence of these problems, vitamin k deficiency in that exclusive breastfeeding of children with apparent. A mother worked hard after shiyue pregnant finally successfully gave birth to her baby, follow the doctor\'s instructions, only giving children breast-fed her lactation is enough, children growing up day by day, white fat, but suddenly one day, his cry more, pale, young mother out of their wits, rushed to the hospital seeking treatment. Results children is intracranial hemorrhage due to vitamin k deficiency. Fortunately, processing time, intracranial hemorrhage volume is less, children receive timely medical treatment. From this we again reminded parents: as long as the early prevention of neonatal hemorrhage, was completely avoidable.


First of all, is for pregnant women vitamin k in the late. Currently some people advocated motherhood begins after 37 weeks K10 mg once daily oral vitamin; production back to once a week, dose is 10 mg, until the 12th week. In addition neonatal health after intramuscular injection of 10 mg can be play a role in prevention. If the child has bleeding manifestations, must go with time in children with medical care. If the blood loss, more serious condition, doctors may consider blood transfusion therapy, and transmission and new blood as possible so that you can better complement coagulation factors, and to correct the anemia.

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