How to treat neonatal jaundice

Written by Li Jiao Yan
Neonatology
Updated on September 17, 2024
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Neonatal jaundice is the most common phenomenon during the neonatal period and generally falls into two categories: physiological jaundice and pathological jaundice. As the name suggests, physiological jaundice is a normal physiological phenomenon. It typically appears in full-term babies on days 2-3, peaks on days 4-5, and gradually decreases around day 7, and completely subsides within two weeks. This type does not require intervention as the baby is generally in good condition and usually does not need treatment. Jaundice that appears early, progresses quickly, is severe, or lasts a long time is considered pathological jaundice. The diagnosis of pathological jaundice is generally made by a doctor. It is recommended that babies be monitored daily for jaundice within the first two weeks after birth. Based on the bilirubin levels, if it is high, it is advisable to seek a thorough examination from a neonatologist. Pathological jaundice requires timely intervention, especially considering liver function. If there is a significant increase in indirect bilirubin, this type of jaundice can be neurotoxic. Persistent high jaundice might affect the brain, so prompt intervention is necessary. Hospitalization for jaundice treatment will depend on the cause, and treatment will be symptomatic. The cause might be other pathological factors; removing the cause while treating the jaundice is the usual approach. Common treatment for high indirect bilirubin involves phototherapy. If conjugated bilirubin is elevated, the underlying cause might be more complex and treatment more challenging. Therefore, if jaundice is detected and there is uncertainty, it is advised to promptly visit a hospital for intervention by a neonatal specialist and necessary treatment.

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Written by Li Jiao Yan
Neonatology
1min 18sec home-news-image

How long should a newborn with jaundice be exposed to sunlight each day?

Neonatal jaundice is one of the common symptoms in newborns, usually appearing early in the neonatal period. It is normal for babies to exhibit signs of jaundice, typically appearing on days 2-3, peaking around days 4-5, and then subsiding within two weeks. If the baby's jaundice levels are high and close to pathological values during the peak period, it's advisable to expose them to some sunlight. It's recommended to sunbathe the baby during the early morning or late afternoon when the sun is gentle but not too hot or too cold outside, and when there is not much wind. Sunbathing for jaundice requires direct skin exposure without the interference of glass, so ideal times are from 10 to 11 A.M. or between 3 to 4 P.M., usually for about half an hour to one hour. Care should be taken to avoid direct sunlight on the eyes and if the skin shows obvious signs of reddening, sun exposure should be stopped to prevent sunburn, as newborn skin is delicate. If jaundice seems significantly worse or rebounds noticeably, it is recommended to see a doctor who can decide if medical intervention is necessary and treat the condition promptly.

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Written by Li Jiao Yan
Neonatology
1min 4sec home-news-image

Is neonatal jaundice seriously high?

Neonatal jaundice is a common phenomenon in the neonatal period, divided into physiological jaundice and pathological jaundice. If it is pathological jaundice and there is no active intervention, the continuous increase of jaundice can significantly affect the baby. There might be severe sequelae, such as a significant rise in indirect bilirubin, which could lead to bilirubin encephalopathy, affecting the normal function of his nervous system, leading to abnormalities in hearing or cognitive and motor development delays. In severe cases, it could even lead to the baby's death. If conjugated bilirubin is elevated, there might be abnormalities in liver function. If not promptly treated, there could be liver damage or failure, which in severe cases may also threaten the baby's life. Therefore, it is advisable to seek prompt medical attention and treatment if jaundice levels are high.

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Written by Li Jiao Yan
Neonatology
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What to do if a newborn has high jaundice?

If a newborn baby has high jaundice that exceeds normal values, it is considered pathological jaundice. Pathological jaundice requires timely intervention. It is generally recommended to go to the hospital, where a specialist in neonatology will conduct a thorough examination of the baby. If necessary, hospitalization or medication might be required for treatment. It is advised that parents should not handle high jaundice on their own, as they generally do not know when the newborn is in a pathological state. It is best to have a specialist doctor manage and treat the baby’s jaundice, and the specialist will also guide the treatment of the jaundice.

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Written by Li Jiao Yan
Neonatology
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What should be done if a newborn's jaundice is higher than 275?

The newborn's jaundice level has already exceeded 275, indicating that the jaundice is elevated. Typically, when jaundice is high, it is advisable to complete liver function tests to check how high the bilirubin level is in the blood. If the bilirubin in the blood is also definitely above 275, this is certainly pathological jaundice. Pathological jaundice generally suggests going to the hospital, where a specialist in neonatology will guide the treatment based on the baby's specific condition. If the baby presents with other accompanying symptoms, hospital intervention and treatment might be necessary. If the general condition is still good, the doctor might advise you to go home with medication or other interventions, with regular follow-up appointments. It is recommended that parents seek timely hospital intervention for high jaundice levels.

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Written by Zhang Xian Hua
Pediatrics
1min 33sec home-news-image

Does neonatal jaundice require hospitalization?

Neonatal jaundice does not necessarily require hospitalization, because the characteristics of bilirubin metabolism in newborns can lead to physiological jaundice. This happens because newborns produce an excess of bilirubin and have inadequate plasma albumin to bind with bilirubin, coupled with relatively poor bilirubin-processing ability in liver cells and distinctive characteristics in their enterohepatic circulation. Consequently, physiological jaundice is common. Babies with physiological jaundice are generally in good condition without clinical symptoms. Typically, jaundice appears on the 2nd to 3rd day after birth; for full-term infants, it usually does not last more than two weeks, and for preterm infants, it generally does not exceed one month. Moreover, the daily increase in bilirubin is not high, and the total bilirubin is not extremely elevated. In such cases, continued observation is sufficient and hospitalization is not required. However, if it is non-physiological jaundice, or pathological jaundice, hospitalization might be needed. This is indicated by jaundice appearing within the first 24 hours after birth, extremely high total bilirubin levels, or very high levels of conjugated bilirubin. In such cases, it is advisable to visit a pediatric gastroenterology clinic or a neonatal clinic promptly to investigate the cause and possibly receive hospital treatment.