Promotion

On Yellow Alert for liver disease: nappy know-how could save lives

publication date: Oct 9, 2007
Parents need to be on the look-out for the signs of potentially life-threatening liver diseases when changing their baby’s nappy, a national children's charity urges. Delays in spotting these signs and getting early treatment can lead to the need for a liver transplant at a young age and could ultimately cost them their baby’s life.

The Yellow Alert campaign, launched by Children’s Liver Disease Foundation (CLDF), is aimed at community healthcare professionals and parents and spells out the warning signs of liver disease in newly-born babies.

The key signs are:
  • prolonged jaundice, lasting beyond two weeks after birth;
  • pale stools and/or yellow urine (it should be colourless).
Any of these must be reported to the midwife, health visitor or GP and a special blood test called a split bilirubin test must be done to rule out liver disease.

Catherine Arkley, Chief Executive at CLDF, says: “At least one baby is born with liver disease every day in the UK but we have no way of telling which baby will be affected. There is no specific group at risk of liver disease. It could strike any family, anytime, so it is important that everyone remains alert to the signs, which are easy to spot. That is why we are launching Yellow Alert, which clearly tells parents and community health practitioners about the signs and what they should do.”

Ms Arkley continues: “In the early stages of liver disease a baby can look and feed entirely well, which can be misleading for everyone. Checking nappies for the warning signs and responding to prolonged jaundice may prevent the human cost we deal with, day in, day out.

“As a guide, parents should know that a healthy newborn’s urine is usually colourless whereas the stool colour should be English mustard yellow or green in bottle-fed babies and daffodil yellow or green in breastfed babies.

Mark Davenport, consultant paediatric liver surgeon at King’s College Hospital, London, reinforces the importance of early diagnosis: “The earlier a diagnosis is made, the less damage will have occurred in the liver and the higher the chances of sparing the child from a liver transplant at a young age. Time is of the essence when dealing with a condition like biliary atresia. I urge parents to speak to their health visitor, midwife or doctor if they spot any of the warning signs described by the Yellow Alert campaign.”

Further information
A leaflet for parents, Jaundice in the new born baby, is available from CLDF:

  • by calling 0121 212 3839
  •  via email on yellowalert@childliverdisease.org