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Derived from Arthur. Celtic artos, bear, or art, stone. Master of the Knights of the Round Table, King Arthur lived in the fifth century and battled in the south of Scotland. St. Arthur was a victim of the persecutions of King Henry VIII of England against Catholics in 1539. His feast: November 15.

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Twins born 24 days apart

Nature is sometimes curious, these days it has given us the story of twins who they were born 24 days apart. Yes, yes, you read that correctly, they are not 24 hours apart but 24 days, about 3 weeks. How is it possible? We tell you his story, a story that has nothing to do with science fiction and that has already traveled the world.

Lindalva Pinheiro da Silva is the mother of these twins. She is 35 years old and had a high-risk pregnancy, like all multiple pregnancies, but without any notable incidence. When the pregnancy reached week 24, her waters broke. The shock was huge because it was too early for her children to be born. She rushed to the hospital and there they were able to stop labor for four endless days, however. Finally they could not avoid stopping it for more days and Lindalva began to have contractions, labor had begun.

Thus was born Alexander, a premature baby who weighed 750 grams and who was admitted to intensive care to allow his organs to mature and survive outside the womb.

The funny thing about the story is that once the first brother was born, the contractions stopped and labor ended, the time for the second twin had not yet come. The mother was monitored at all times after the first delivery due to the risk of infection, since Alexander's placenta remained inside and delivery did not occur.

Three weeks later, the contractions returned, the second delivery was near. And so it came into the world Ronaldo, the second twin, after a normal delivery, although it was also a premature baby and weighed only 1.45 kilos.

You wonder what happened to those twins and how they developed. Well, three months have passed since their birth and both are still in the hospital although they have already gained a lot of weight and their health is good. However, Alexander who was born the first will have to be operated on for his eyesight and for a possible hernia. In any case, the doctors who treat them give good prognoses and believe that the twins will be able to go home shortly and lead a normal life. And it is that, the techniques of attention and care for premature babies are increasingly developed and the survival rate is higher.

A beautiful story with a happy ending that puts a smile on our faces, something that is appreciated, in the face of so much news that we witness that they take it away.

You can read more articles similar to Twins born 24 days apart, in the Premature category on site.

Moms Twins Born Different Colors. 18 Years Later, This Is What They Look Like

A sweater for two
Biogenis announces the opening of the first Pregnancy School organized by a stem cell bank in Romania.

Biogenis announces the opening of the first Pregnancy School organized by a stem cell bank in Romania.
All couples signing a contract for harvesting and storing stem cells at birth with Biogenis starting June 1, 2010, receive free courses to prepare the parenting mission.
During the courses, the future parents will receive information from specialized trainers about the evolution and follow-up of pregnancy, birth and lust, the care of the newborn and the legislation and rights of the pregnant woman.
"The arrival of a new family member in the world is a special moment for parents and their relatives to try to prepare in advance. and the idea to open a Biogenis Pregnancy School, such a course costs about 600 lei, and Biogenis supports all these expenses for its clients, the future parents being able to take the free course. It is a project that is currently starting in Bucharest , but this year we will follow the idea of ​​opening a few other training centers in the country. The offer is open to all those who sign up with us and want to participate in courses, "said Cristian Lacraru, director of communication Biogenis, cell bank stem.
Lower cost for Biogenis services!
Biogenis announces this month the maintenance of the low cost for the collection and cryogenization service of stem cells at birth, at only 3590 lei, after a promotion phase during May.
Taking into account the average cost of a 600 lei mother school, which many couples already bear due to the increased interest in these courses, it can be said that the Biogenis service reaches a cost of 2990 lei, the lowest on the market from Romania, by offering free Biogenis Pregnancy School.
June 8, 2010



I think my baby's skin looks a little yellow. Is this normal?

Yes, about 60 percent of full-term babies have a yellowish cast to their skin – called jaundice – during their first week or two of life. In fact, virtually all newborn babies have some jaundice, but it's not always noticeable.

For most babies, this is a temporary, harmless condition that goes away on its own or with mild treatment. But in rare cases, it's very serious, so it's important to keep an eye on it.

What causes jaundice?

High levels of a pigment in the blood called bilirubin cause the skin to look yellow.

Everyone's blood contains bilirubin. Bilirubin is one of the byproducts created when old red blood cells break down. Normally, the liver removes bilirubin from the blood and the body then gets rid of it in bowel movements.

During pregnancy, the mother's liver eliminates bilirubin for her baby. After birth, it takes a while for the baby's liver to start doing the job. The result: Pigment builds up in the baby's blood and his skin takes on the yellowish cast of jaundice.

This type of jaundice, called physiologic jaundice, usually appears on a baby's second or third day of life and disappears on its own within two weeks. (In premature babies, it peaks at 5 to 7 days and may take up to two months to go away.) The yellow color tends to appear first in a baby's face, then move downward to his neck and chest and on down until, in extreme cases, it reaches his toes.

© Dr. P. Marazzi / Science Source

Can breastfeeding cause jaundice?

Breastfeeding doesn't cause jaundice, but jaundice is more likely to occur in breastfeeding babies.

Insufficient liquid causes the concentration of bilirubin in the blood to rise. So if your baby is breastfeeding and not yet getting plenty of breast milk, it's more likely that he'll become jaundiced. (It's possible for a formula-fed baby to get jaundice, too, if he's not getting enough formula.)

If you think your baby isn't getting enough breast milk, discuss the feeding problem with your doctor. You may want to work with a lactation consultant on breastfeeding.

Once your baby is getting enough breast milk – through improved breastfeeding technique, more frequent feedings, or supplementation with expressed breast milk or formula – the jaundice will likely go away. The American Academy of Pediatrics (AAP) recommends that you breastfeed your baby at least eight to 12 times a day for the first several days.

Some babies develop something called "breast-milk jaundice" during their first few weeks. It's usually diagnosed at around 7 to 11 days of age.

Your baby may be nursing well and gaining weight normally, but something in the breast milk interferes with his liver's ability to process bilirubin. This often happens along with physiologic jaundice, and it can go on for several weeks or even months.

Breast-milk jaundice is pretty common in exclusively breastfed babies, and is generally considered harmless. If your baby's bilirubin levels get too high, your baby's doctor may recommend that you stop nursing for a day or two to bring them down. You can use a breast pump to maintain your milk supply during this time, and once the bilirubin level goes down, you can begin breastfeeding again.

Can jaundice be dangerous?

In the vast majority of cases, jaundice isn't anything to worry about. But if a baby's bilirubin levels get too high, jaundice can cause permanent damage to the nervous system. A very small percentage of jaundiced newborns develop a condition called kernicterus, which can result in deafness, delayed development, or a form of cerebral palsy.

Are some babies more prone to jaundice than others?

Yes, babies is more likely to have noticeable jaundice if they:

  • has a sibling who had jaundice
  • had bruises at birth (the red blood cells that are part of the bruises are broken down and produce bilirubin as a byproduct)
  • were born prematurely, because their immature liver may not be able to handle the bilirubin levels
  • are of East Asian descent
  • have a certain genetic disorder (such as Gilbert's syndrome; inherited red blood cell membrane defects; or galactosemia, an inherited metabolic disorder)
  • have a certain disease, such as cystic fibrosis or hypothyroidism

Jaundice during a baby's first 24 hours can also be caused by serious conditions such as liver, gallbladder, and intestinal disorders, an infection, excessive birth trauma, certain diseases, or extreme prematurity (birth before 28 weeks gestation). Rh-incompatibility and blood-type incompatibility can also cause jaundice in the first day.

Are there tests for jaundice?

Your medical team will examine your baby for jaundice at birth. Ideally, they should also look at him three to five days after birth, when his bilirubin levels are likely to be highest.

If there's any concern that your baby is jaundiced, his doctor may do a skin test or blood test to check his bilirubin levels. (The test will definitely be done if your baby appears jaundiced in the first 24 hours, because jaundice that appears then is more likely to be a problem.)

If you leave the hospital soon after your baby's birth, though, you and your baby may be home by the time jaundice shows up, and you may be the first to notice it.

Here's how to check for jaundice: Take your baby into a room with plenty of natural or fluorescent light. If your child is fair-skinned, gently press your finger to his forehead, nose, or chest, and look for a yellow tinge to the skin as the pressure is released. If your child has dark skin, check for yellowness in his gums or the whites of his eyes.

When should I call the doctor?

Talk with the doctor if your baby's skin is yellowish, especially if the whites of his eyes, his tummy, or his arms or legs are yellow. Also call the doctor if your baby is jaundiced and becomes hard to wake or fussy, or doesn't want to eat, and if he has even a mild case of jaundice for more than three weeks.

When is jaundice considered serious?

If a baby develops jaundice in the first 24 hours after birth, it's always considered serious and he'll need close monitoring and treatment. This type of jaundice is uncommon, though, and is usually due to a blood-type incompatibility between mom and the baby.

If your blood type is O or Rh-negative, it may be incompatible with your baby's blood type. During your first prenatal appointment, your practitioner probably checked your blood type to see if you were at risk for this, but there's no way to know for sure until your baby is born and you find out what his blood type is.

If your healthcare provider is concerned about incompatible blood types, a blood sample will be taken from your baby at birth to find out his blood type. (Some providers wait to do a blood test until a baby shows signs of developing jaundice, since he may be fine even if your blood types aren't compatible.)

A "Coombs test" will also be done, to see if an incompatibility has affected your baby's blood cells. If your baby does have a blood-type incompatibility or a positive Coombs test, he'll be watched closely for jaundice.

How is jaundice treated?

Most jaundice needs no treatment, but when it does, phototherapy (light therapy) is considered very safe and effective: Placing a baby naked in a bassinet, with his eyes covered, under blue "bililights" often does the trick, because ultraviolet light changes the bilirubin to a form that the baby can more easily dispose of in his urine.

Another option involves wrapping the baby in a fiber-optic blanket called a bili-blanket or bili-pad. With a prescription from your doctor, you may be able to rent one of these blankets to treat your baby at home.

Phototherapy is usually effective, but if a baby develops a severe case of jaundice, or his bilirubin levels continue to rise despite phototherapy treatment, he may need to be admitted to the intensive care unit for a blood transfusion called an "exchange transfusion." This transfusion replaces some of the baby's blood that contains high bilirubin levels with donor blood containing normal levels.

Something else you can do on your own to help reduce jaundice is make sure that your baby is getting plenty of breast milk or formula, so he'll have frequent bowel movements. If you have any concerns about jaundice, check with his doctor to make sure you're taking the right steps to get your baby back in the pink.

Neonatal Jaundice by Lauren Veit for OPENPediatrics

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