Is a newborn jaundice level of 15.8 serious?

Written by Shi Ji Peng
Pediatrics
Updated on November 02, 2024
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Neonatal jaundice of 15.8 is relatively high. Whether this is serious depends primarily on which day after birth the jaundice value of 15.8 appears. If it occurs within the first three days after birth, a jaundice value of 15.8 is considered serious. Furthermore, the earlier it appears, the more severe the child's condition is. For example, if the child shows a jaundice value of 15.8 at 48 hours old, it is less severe compared to it appearing within the first 24 hours after birth. Therefore, once jaundice is observed, it is important to investigate the possible causes, such as hemolytic disease, infection, infant hepatitis, or biliary atresia. Identifying the specific cause allows for targeted treatment of the condition, while also actively treating the jaundice in the child.

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Neonatal hemolytic disease refers to alloimmune hemolysis caused by maternal-fetal blood type incompatibility, commonly seen in life with A, B, O blood type mismatches, and Rh blood type mismatch is less common. Once neonatal hemolytic disease is diagnosed, aggressive treatment must be pursued. Initially, phototherapy treatment is recommended, commonly referred to as blue light therapy. Additionally, medication therapy for the child is necessary, frequently involving albumin and intravenous immunoglobulin, along with the use of sodium bicarbonate to correct acidosis. If the aforementioned treatments do not yield satisfactory results, blood exchange treatment should be considered for the child. This mainly involves removing free antibodies and sensitized red blood cells from the blood, thereby alleviating hemolysis and ultimately achieving therapeutic goals. (Please use medication under the guidance of a doctor.)

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Neonatal jaundice, how many days can it completely subside?

Neonatal jaundice is one of the common symptoms in newborns, especially in early newborns. Neonatal jaundice can be a normal physiological phenomenon, but it can also be a manifestation of certain diseases. Generally, if it is physiological jaundice in full-term babies, it usually resolves within about ten days, and generally lasts no longer than two weeks. In premature babies, it tends to last longer, generally not exceeding four weeks. However, if the jaundice persists for a long time, progresses quickly, and is severe, it may be pathological jaundice. Pathological jaundice might be associated with other discomforts, and in such cases, it is necessary to identify possible pathological factors and treat them accordingly to gradually control and reduce the jaundice. Therefore, if the jaundice persists for a long time, it is advisable to go to the hospital for some relevant tests to determine its nature, and if it is pathological jaundice, timely intervention and treatment are recommended.

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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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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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Where to test for neonatal jaundice

Neonatal jaundice is one of the common symptoms during the newborn period. Generally, jaundice is monitored in hospitals after the baby is born. If the baby is discharged, jaundice still needs to be monitored. Normal physiological jaundice usually peaks around four to five days and subsides around ten days. If the baby's jaundice is higher than usual after discharge, more frequent monitoring is required. It is generally recommended that jaundice monitoring can be done at local community centers, maternal and child health hospitals, or people's hospitals with obstetrics and gynecology departments, where jaundice can typically be measured. The main test for jaundice is through transcutaneous bilirubin measurement. If the transcutaneous bilirubin measurement is high, it is necessary to confirm whether the bilirubin in the blood is high, which would require going to the hospital for a blood test and liver function test to determine the severity of the jaundice.