Is neonatal jaundice seriously high?

Written by Li Jiao Yan
Neonatology
Updated on November 08, 2024
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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
1min 3sec home-news-image

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
1min 35sec home-news-image

When does neonatal jaundice completely disappear?

Neonatal jaundice is one of the most common conditions in newborns. Due to the metabolic characteristics of bilirubin in newborns, about 50%-60% of full-term infants and 80% of preterm infants experience jaundice. Jaundice is categorized into physiological jaundice and pathological jaundice. If it is physiological jaundice, the duration typically does not exceed two weeks in full-term infants, and in preterm infants, it can extend up to three to four weeks, generally not exceeding four weeks. If the jaundice progresses quickly and is severe, and if its resolution is delayed, there might be an underlying pathological jaundice. Pathological jaundice may involve certain pathological factors, necessitating a hospital visit. Based on the baby’s specific conditions, targeted examinations should be conducted, and treatment should focus on the underlying cause to actively manage the jaundice. The length of time jaundice takes to resolve may vary depending on the cause or the condition of the baby. How the jaundice subsides depends on the condition. If pathological jaundice is not promptly managed, the severity of the jaundice may increase, and there may be a risk of severe complications. Therefore, if the jaundice level is high and parents are unsure, it is advised to have it checked at a hospital. If pathological jaundice is confirmed, timely intervention and treatment are necessary.

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Written by Yao Li Qin
Pediatrics
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Can neonatal jaundice be effectively treated?

Neonatal jaundice refers to the development of jaundice involving the whole body's skin and mucous membranes in newborns. For physiological jaundice in newborns, it can heal naturally. For pathological jaundice in newborns, with active treatment, including phototherapy, etiological treatment, and when necessary, administration of medications such as albumin and globulin, the more severe cases may require blood exchange treatment. Through the aforementioned treatments, neonatal jaundice can be effectively managed, so parents need not worry. If you notice jaundice in your child, actively take them to the hospital to cooperate with the doctor's treatment. In most cases, a satisfactory treatment outcome can be achieved. Parents can be reassured in this regard. (Please follow the guidance of a specialist for specific medications and do not medicate on your own.)

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Written by Li Jiao Yan
Neonatology
1min 25sec home-news-image

Do newborns with jaundice need to be hospitalized?

Neonatal jaundice is one of the common symptoms in newborns, especially in premature newborns. It can either be a normal developmental symptom or an indication of certain diseases. In severe cases, it can lead to brain damage. Generally, about 80% of full-term newborns show visible signs of jaundice under normal conditions. However, it is crucial to differentiate between physiological and pathological jaundice. Physiological jaundice generally does not require intervention. If it is pathological jaundice, timely intervention and treatment are necessary because it can be an indication of various diseases. Without timely intervention, the baby might develop other serious complications. The most severe cases can see a continuous increase in bilirubin levels that might enter the brain, leading to kernicterus, and even cause hearing loss, possibly endangering life. Generally, if jaundice persists for a longer time, progresses rapidly, and is severe, it is crucial to seek medical attention promptly. If it is pathological jaundice, hospitalization for timely treatment is necessary. Neonatal jaundice is a critical indicator that requires close attention and monitoring.

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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.