Question
After transferring to the neonatal intensive care unit, the child underwent checks, and now we are wondering if it’s possible to be discharged. The child’s Apgar score at birth was 7, 10, and 10, with one point deducted in skin color, respiration, and muscle tone. After transferring to the neonatal intensive care unit, the cardiac enzymes test results were over 1700, with MB cardiac enzymes at 142 and a result of 666. After one week of treatment, the cardiac enzymes level dropped to 699, with the MB value at 67, and the bilirubin level exceeded 200. The doctor mentioned that the child might aspirate water but no specific test was conducted. How is the child’s physical condition, and is it possible for them to be discharged? Family members are worried due to being unable to visit. Feeding has progressed from not being fed on the first day to 5 ml every two hours on the third day, to 30 ml every two hours on the fourth day, and naps and bowel movements are normal.
Answer
Based on your description and test results, the child’s current recovery is relatively good. It is possible for discharge if desired. However, it is best to follow the doctor’s advice, who will notify you when they believe it is appropriate for discharge. Since the Apgar score at birth was not fully up to standard, there are some possibilities. If there is any hypoxic-ischemic encephalopathy, the doctor will make a judgment based on the child’s performance and a head CT or MRI.