Jaundice in pregnant women and children

Jaundice in pregnant women can be observed in toxicosis of pregnancy - uncontrollable vomiting during pregnancy and, rarely, eclampsia due to degenerative changes in the liver.
The cause of jaundice in pregnant women may be epidemic hepatitis, leptospirosis and other lesions of the liver, biliary tract and pancreas. Remains controversial question about the negative impact of the disease on the offspring.
Jaundice in children occurs in many diseases. Etiology of jaundice different in newborns, infants and older children. In 57% of newborns in the first 2-3 days occurs physiological jaundice. The development of it is caused by the functional immaturity of enzymatic systems liver, with which the transformation of indirect bilirubin in a straight line. Usually physiological jaundice disappears for the 10-14th day, and in premature to 21-30-th day due to a slower recovery of their liver. The content of bilirubin in the blood at physiological jaundice in average 5-6 mg%.
Jaundice with hemolytic disease of the newborn (see) appears, as a rule, in the first day, expressed more intensely and is accompanied by higher levels of bilirubin in the blood. In the period of neonatal jaundice may be a symptom of hepatic toxicity in congenital hepatitis, toxoplasmosis, cytomegaly, septic conditions, galactosemia (congenital anomalies of the enzymesthat regulate metabolism of galactose). By type of obstructive jaundice occur in newborns syndrome thickening of bile, atresia of the bile ducts.
Jaundice crises when hemolytic anemia Minkowski - soffera diagnosed mainly in older children, although they can occur at an early age.
Jaundice without hemolytic processes observed in children with the syndrome criglernajjar Najjar syndrome, Gilbert, when broken processes of transformation of indirect bilirubin in a straight line. Diseases associated with genetic inferiority of liver enzymes involved in the excretion of bilirubin. Well known at epidemic jaundice hepatitis.
Rarely occurs in children jaundice as a manifestation of listeriosis. Poisoning hepatotropic poisons that cause heavy organic changes liver and icteric syndrome in children are rare.
Should be distinguished from jaundice cases where the consumption of children in a large number of carrot juice, oranges and oil leads to intense yellow coloration of the skin.