What are the impacts of neonatal jaundice?

Written by Li Jiao Yan
Neonatology
Updated on May 06, 2025
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Neonatal jaundice is one of the most common phenomena in the neonatal period. It is divided into physiological jaundice and pathological jaundice. Due to the metabolic characteristics of bilirubin in newborns, about 50%-60% of full-term infants and 80% of preterm infants will experience physiological jaundice. The general condition of babies with physiological jaundice is good; the degree of jaundice is not severe, it does not progress rapidly, and then the jaundice gradually subsides on its own. At this time, no intervention treatment is needed, and it has no impact on the baby. If it is pathological jaundice, where the jaundice continues to rise, if not timely intervened, it might lead to serious complications such as bilirubin encephalopathy and cirrhosis, and may even lead to sudden cessation of respiration and heartbeat, posing a threat to life safety. Therefore, timely intervention and treatment are necessary for pathological jaundice, as jaundice might be the only manifestation of some serious diseases in newborns, such as rapid progression and severe jaundice, which are indications of the illness in the baby.

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How should a newborn with jaundice be sunbathed?

Neonatal jaundice is one of the most common symptoms in newborns, and it is divided into physiological jaundice and pathological jaundice. In cases of physiological jaundice, the baby is generally in good condition, the onset does not occur very early, and the duration is not very long, generally requiring no special intervention. If the jaundice progresses more quickly, it usually peaks around the fourth or fifth day for normal babies. At this time, if parents are concerned, they can appropriately expose the baby to sunlight. Sunlight has a certain effect on reducing jaundice by irradiating the skin. It is generally required that the skin be exposed directly to the sun without going through glass, ideally when the sunlight is not too strong, the external air temperature is not too low, the wind is not too strong, and the weather is good. Generally, the baby should lie in the sun with skin exposed, and some may choose to lie on their backs, but it is important to protect the eyes from direct sunlight. Another method is to let the baby lie on their stomach to expose their back and buttocks to the sun. The duration of exposure should not be too long. If the skin shows obvious redness, it should be stopped immediately, as strong ultraviolet rays could potentially cause sunburn, which might lead to discomfort for the baby. Therefore, when exposing a newborn with jaundice to sunlight, parents should be careful not to overdo it, and also make sure the baby does not get too cold.

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Written by Li Jiao Yan
Neonatology
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Reasons for the slow resolution of neonatal jaundice

Neonatal jaundice is one of the common symptoms in the newborn period. It can be a normal physiological phenomenon or a manifestation of certain diseases. Jaundice is divided into physiological jaundice and pathological jaundice. Generally, physiological jaundice in full-term infants lasts no more than two weeks, while in preterm infants, it lasts no more than four weeks. If the resolution of jaundice is delayed, it indicates pathological jaundice. Pathological jaundice generally requires investigation of the cause. If the cause is not eliminated, the jaundice will persist and thus resolve slowly. For instance, if an infection is uncontrolled, or there is hemolysis, reduced thyroid function, or genetic diseases such as G6PD enzyme deficiency, abnormalities in the red blood cell membrane, or problems with the liver or bile ducts, these could all lead to slow resolution of jaundice. Therefore, if the jaundice lasts for an extended period, it is generally advisable to visit a hospital for relevant tests.

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Written by Li Jiao Yan
Neonatology
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When does neonatal jaundice go away?

Neonatal jaundice is a common phenomenon in the newborn period, with 80% of full-term infants visibly exhibiting jaundice. Jaundice is divided into physiological jaundice and pathological jaundice. In full-term infants, physiological jaundice generally lasts about two weeks and ordinarily subsides within that time. For preterm infants, it typically does not last more than four weeks. However, if the jaundice progresses quickly, appears early, and is severe, reaching pathological levels, intervention and treatment are necessary. The duration of jaundice can vary depending on the baby’s condition. Without intervention, the duration of jaundice may be prolonged. Therefore, it is advisable to regularly monitor jaundice and actively intervene with treatment if abnormalities are present.

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Written by Li Jiao Yan
Neonatology
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What are the dangers of neonatal jaundice?

Neonatal jaundice is one of the most common symptoms during the newborn period and may also be an indication of certain diseases. Usually, if the neonatal jaundice is within the normal range, it is referred to as physiological jaundice, which is generally not a major concern. The baby's condition is typically okay, and the jaundice tends to gradually recede on its own, having minimal impact. If the jaundice is pathological, it generally appears early, progresses rapidly, and recedes slowly. Pathological jaundice, depending on the type of bilirubin increase in the blood, can be divided into high direct bilirubin and high indirect bilirubin elevations. If the increase in indirect bilirubin is significant and continuous, there is a risk of it entering the brain, potentially leading to a severe condition known as bilirubin encephalopathy, or even kernicterus. This could result in serious neurological sequelae, possibly affecting intelligence, hearing, and in more severe cases, it might endanger the baby’s life. If there is a significant increase in direct bilirubin, it might be due to liver or biliary disease. If not treated timely, the condition might progress and potentially lead to liver damage or liver failure, which are also serious complications. Therefore, if jaundice levels are high and there is a suspicion of pathological jaundice, it is crucial to seek medical attention promptly and intervene with treatment in a timely manner.

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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.