Neonatal jaundice blue light therapy

Written by Li Jiao Yan
Neonatology
Updated on June 13, 2025
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Blue light therapy is one of the most common and effective treatments for neonatal jaundice, mainly targeting jaundice due to elevated indirect bilirubin. The principal mechanism of phototherapy involves transforming bilirubin into isomers, turning it from lipid-soluble to water-soluble, which can then be excreted through bile and urine without liver synthesis. Generally, the need for light therapy indicates a severe level of jaundice, but it is important to ascertain the type of bilirubin elevation before starting treatment. If the elevation involves conjugated bilirubin, light therapy will not be effective. Thus, if light therapy is necessary, it should be confirmed that the liver function issue involves elevated indirect bilirubin, in which case the effects of phototherapy are usually positive. The duration of treatment typically depends on the degree of jaundice and whether there are any complicating pathological factors. The method usually involves intermittent light exposure, generally spanning six to twelve hours. If the jaundice is more severe, continuous phototherapy lasting twenty-four to forty-eight hours might be required to reduce the bilirubin levels.

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Written by Li Jiao Yan
Neonatology
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Causes of recurrent neonatal jaundice

Neonatal jaundice is one of the common symptoms during the newborn period, especially in early newborns. It can be a symptom that appears in the normal development process, or it may be a manifestation of certain diseases. Generally, neonatal jaundice is divided into physiological jaundice and pathological jaundice. Typically, physiological jaundice gradually increases to a certain level and then subsides, and does not recur. If the jaundice recurs, or if it significantly increases after decreasing, or reappears after subsiding, it is definitely pathological jaundice. Pathological jaundice has many possible causes, commonly including infections, hemolysis, or other genetic metabolic diseases, or some red blood cell disorders, all of which can affect the recurrence of jaundice. Therefore, if the jaundice recurs, it is advisable to visit a hospital. A neonatologist will conduct relevant examinations based on the baby's condition to confirm if it is pathological jaundice. The cause should be clearly identified for targeted treatment, followed by symptomatic treatment, and timely intervention is necessary.

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Written by Li Jiao Yan
Neonatology
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What is the normal bilirubin value for newborn jaundice?

Neonatal jaundice is the most common occurrence during the newborn period, and it is routine to monitor jaundice in babies after birth until they are one month old. During the peak period of jaundice, the frequency of testing tends to increase. Normally, we say that jaundice levels should not exceed 6 within 24 hours, 9 within 48 hours, 12 within 72 hours, and ideally not exceed 15 after 72 hours. If the levels are higher than these values, or if the jaundice progresses too quickly, meaning that the rate increases by more than five milligrams per deciliter every twenty-four hours, this might indicate a pathological condition. In such cases, it is advisable to go to the hospital promptly for a specialist neonatologist to conduct a detailed examination of the baby to see if intervention is needed. Generally, if the baby's jaundice level has risen, it is best to monitor jaundice daily whenever possible after two weeks.

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Written by Li Jiao Yan
Neonatology
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What does a newborn jaundice blood test check for?

Neonatal jaundice is one of the common symptoms during the neonatal period. It may indicate both normal developmental processes and certain diseases. If it is normal physiological jaundice, there is no need for blood tests. However, if pathological jaundice is suspected, blood tests are generally required. The most common test is a liver function test to determine the level of bilirubin in the blood. Additional tests might be conducted, especially if there is an incompatibility in the blood type between the mother and child. In such cases, tests for the baby's blood type and hemolysis are necessary, along with tests for common infection markers. If the mother had other abnormalities before pregnancy, further blood tests might be warranted based on potential conditions that the baby might exhibit.

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Written by Li Jiao Yan
Neonatology
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neonatal jaundice standard values

Neonatal jaundice is one of the common symptoms during the neonatal period. It can be a normal physiological phenomenon or a manifestation of certain diseases. Jaundice is generally divided into physiological jaundice and pathological jaundice. Physiological jaundice does not appear very early, progresses slowly, lasts a short time, and is not very severe. Generally, for jaundice monitoring, it is recommended that newborns be closely monitored for changes in jaundice. Jaundice within 24 hours after birth generally does not exceed 6 milligrams per deciliter. From 24 to 48 hours, it generally does not exceed 9, and from 48 to 72 hours it does not exceed 12. After 72 hours, the jaundice level should not exceed 15. If monitoring shows that the jaundice level exceeds the normal range, it is advisable to go to the hospital promptly. The doctor will then determine the specifics of bilirubin levels in the blood. If bilirubin in the blood is indeed elevated, timely intervention and treatment are recommended.

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Neonatology
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Is a bilirubin level of 20 high for a newborn?

If a newborn's skin jaundice reaches a level of twenty, it is a warning sign that the jaundice is significantly elevated. It is advised to promptly go to the hospital for an examination. If the bilirubin levels in the blood are indeed that high, timely intervention and treatment are necessary. Normally, for physiological jaundice, the levels should not exceed fifteen after seventy-two hours in infants. Even during the peak period of four to five days, it should not surpass fifteen. If the jaundice noticeably increases within the first three days and exceeds twenty, the severity of the jaundice might be worse. The younger the newborn, especially with levels above twenty, the higher the risk of bilirubin entering the brain, potentially leading to bilirubin encephalopathy. Therefore, with jaundice reaching twenty, it is still recommended to promptly go to the hospital for intervention and treatment.