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HYPERBILIRUBINEMIA FROM MISDIAGNOSED OR MISTREATED JAUNDICE CAN CAUSE KERNICTERUS (BILIRUBIN ENCEPHALOPATHY) & ATHETOID CEREBRAL PALSY
Hyperbilirubinemia is a condition in which there is too much bilirubin in the blood of an infant or newborn baby. When red blood cells break down, a substance called bilirubin is formed. Babies are not easily able to get rid of the bilirubin and it can build up in the blood and other tissues and fluids of the baby's body. This buildup of bilirubin is called hyperbilirubinemia. Because bilirubin has a pigment or coloring, it causes a yellowing of the baby's skin and tissues. This is called jaundice. Jaundice is a condition that causes a pronounced yellow to orange tint to the skin and to the white part of the eyes as a result of a higher-than-normal amount of bilirubin in the blood (hyperbilirubinemia). Jaundice occurs in about 60 percent of term newborns and 80 percent of premature babies. Most jaundice is benign, but because of the potential toxicity of bilirubin, newborn infants must be closely monitored to identify those who might develop severe hyperbilirubinemia and, in rare cases, acute bilirubin encephalopathy or kernicterus.
Although kernicterus is almost always preventable, unfortunately new cases continue to occur. If your child has been diagnosed with kernicterus, then call and talk to a Lawyer for a Free Confidential Consultation at 1-800-883-9858 or click here for a Cerebral Palsy Lawsuit Evaluation Form
The timing of the appearance of jaundice helps with the diagnosis of hyperbilirubinemia. Jaundice appearing in the first 24 hours is quite serious and usually requires immediate treatment. When jaundice appears on the second or third day, it is usually "physiologic." However, it can be a more serious type of jaundice. When jaundice appears on the third day to the first week, it may be due to an infection. Later appearance of jaundice, in the second week, is often related to breast milk feedings, but may have other causes.
Diagnostic procedures for hyperbilirubinemia may include direct and indirect bilirubin levels. These reflect whether the bilirubin is bound with other substances by the liver so that it can be excreted (direct), or is circulating in the blood circulation (indirect). Treatment of hyperbilirubinemia depends on many factors, including the cause of the hyperbilirubinemia and the level of bilirubin. The goal is to keep the level of bilirubin from increasing to dangerous levels. Treatment may include phototherapy, a fiber-optic blanket, blood exchange and cessation of breast feeding. Since bilirubin absorbs light, jaundice and increased bilirubin levels usually decrease when the baby is exposed to special blue spectrum lights. Phototherapy may take several hours to begin working and it is used throughout the day and night. The baby's position is changed to allow all of the skin to be exposed to the light. The baby's eyes must be protected and the temperature monitored during phototherapy. Blood levels of bilirubin are checked to monitor if the phototherapy is working. Another form of phototherapy is a fiber optic blanket placed under the baby. This may be used alone or in combination with regular phototherapy. Exchange transfusion helps increase the red blood cell count and lower the levels of bilirubin. An exchange transfusion is done by alternating giving and withdrawing blood in small amounts through a vein or artery. Exchange transfusions may need to be repeated if the bilirubin levels remain high. Prevention of hyperbilirubinemia is not an exact science. While hyperbilirubinemia cannot be totally prevented, early recognition and treatment of hyperbilirubinemia are important in preventing bilirubin levels from rising to dangerous levels and the development of kernicterus and athetoid cerebral palsy.
If you suspect ANY signs of jaundice, call your doctor immediately.!! Don't Guess, the Risks are Too Great. Be on the Safe Side.
When hyperbilirubinemia is discovered, newborns should immediately be treated with phototherapy or exchange transfusion to prevent the development of severe hyperbilirubinemia and, possibly, bilirubin encephalopathy (kernicterus). If large amounts bilirubin are deposited in the tissues of the brain, it may cause seizures and severe brain damage. This is a condition called kernicterus or bilirubin encephalopathy .In the chronic form of kernicterus / bilirubin encephalopathy, surviving infants may develop a severe form of athetoid cerebral palsy, mental retardation, behavior problems, auditory dysfunction (hearing loss), dental-enamel dysplasia, paralysis of upward gaze, and, less often, intellectual and other handicaps.
Hyperbilirubinemia - Kernicterus Medical Malpractice Lawsuit
If your child's doctors, the hospital nurses or other healthcare professionals failed to recognize your child's hyperbilirubinemia and as such, failed to adequately and aggressively treat the hyperbilirubinemia so as to prevent kernicterus, bilirubin encephalopathy and/or athetoid cerebral palsy, then you may have grounds for a medical malpractice lawsuit. Find out if your child's injuries were preventable. Call and obtain a Free Confidential Consultation at 1-800-883-9858 or click here for a Cerebral Palsy Lawsuit Evaluation Form
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FREE CASE EVALUATION
If your baby has been diagnosed with Cerebral Palsy and you believe that medical malpractice may have occurred by your Doctors, ObGyn, nurses, assistants and/or hospital staff, then you may have a Cerebral Palsy Legal Action for legal damages against those that may have caused or contributed to your child's condition.
If you have a question regarding any aspect of a medical malpractice / cerebral palsy lawsuit, then call and talk to a trial attorney with over 20+ years experience. Don't wait, get your questions answered today. Contact: Cerebral Palsy Attorney
FREE CASE EVALUATION
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Mr. Willis is a Board Certified Personal Injury Trial Lawyer, certified by the Texas Board of Legal Specialization since 1988. It cost you nothing to discuss your case or ask a question.Call now for a Free Confidential Consultation.
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COMMON QUESTIONS
Question: What are the most common causes of cerebral palsy?
Answer: During the birth, many times the child’s ability to obtain needed oxygen is a chief cause of cerebral palsy. It may result from premature separation of the placenta, too large of baby for the birth canal or pelvis, too long or too abrupt of labor, awkward and/or breech deliveries, cord entanglement, excessive Pitocin, shoulder dystocia, failure to order timely cesarean (c-section), placenta abruptus, excessive force or use of vacuum or forceps, and ruptured uterus. In additional cerebral palsy may occur when there is presence of birth asphyxia, a vaginal birth after a caesarean delivery (VBAC) with a ruptured uterus, neonatal depression, static encephalopathy, fetal bleeding, periventricular leukomalacia, fetal distress during labor, an abrupted placenta and/or hypoxic ischemic encephalopathy,
Question: What are the early signs that may indicate a birth injury or birth trauma may have occurred ?
Answer: Early signs of cerebral palsy may include but limited to low apgar scores, child born with low ph or acidosis, a child born with a bluish skin tone, seizure immediately after birth, cerebral edema, difficulty breathing on its own and a child born severely bruised at birth. These signs may show evidence of a forced delivery or excessive force or trauma on the infant during birth.
Question: What are the physical signs or common symptoms that indicate that a child may have cerebral palsy ?
Answer: A child with cerebral palsy may have limbs that are hard to move or stiff, underdeveloped limbs, muscular hypertonicity, muscle weakness and a tendency to contractures. Cerebral Palsy (CP) child may also exhibit involuntary or uncontrolled movements ,weakness, incoordination, wide-based gait, imbalance and difficulty in depth perception.
CEREBRAL PALSY TOPICS
Cerebral Palsy Definition
Cerebral Palsy Home
Causes of Cerebral Palsy
Signs of Cerebral Palsy
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Spastic Cerebral Palsy
Athetoid Cerebral Palsy
Ataxic Cerebral Palsy
Cerebral Palsy Treatment
Cerebral Palsy Malpractice
Neonatal Depression
Birth Asphyxia
Static Encephalopathy
Developmental Delays
Low apgar scores
Cerebral Edema
Acidosis (low ph)
Cerebral Palsy Lawsuits
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