What causes jaundice in newborns?

Written by Yao Li Qin
Pediatrics
Updated on February 09, 2025
00:00
00:00

Neonatal jaundice is primarily due to the overproduction of bilirubin, which means a higher number of red blood cells are being destroyed, leading to an increased concentration of bilirubin in the blood. Additionally, there is a metabolic disorder of bilirubin in the child. The liver cells' ability to take up and bind bilirubin decreases, which can cause an increase in the concentration of unbound bilirubin in the serum, resulting in jaundice. This mainly occurs in cases of hypoxia, infection, and some congenital diseases, among others. Certain medications and reduced thyroid function can also present this symptom. The third issue is an impairment in the bile's ability to excrete bilirubin, which can occur when the child has neonatal hepatitis or congenital metabolic defects, leading to jaundice.

Other Voices

doctor image
home-news-image
Written by Li Jiao Yan
Neonatology
1min 14sec home-news-image

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.

doctor image
home-news-image
Written by Li Jiao Yan
Neonatology
31sec home-news-image

Does neonatal jaundice recede from the forehead first?

Neonatal jaundice is one of the most common phenomena in newborns, with about 80% of full-term infants visibly exhibiting jaundice. Typically, the development of jaundice begins in the facial area and gradually extends to the trunk and limbs. Its reduction follows the reverse pattern, generally receding from the limbs to the trunk and then slowly to the facial area. Usually, if the face no longer appears yellow, the jaundice has essentially subsided.

doctor image
home-news-image
Written by Li Jiao Yan
Neonatology
40sec home-news-image

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.

doctor image
home-news-image
Written by Li Jiao Yan
Neonatology
1min 16sec home-news-image

Neonatal jaundice symptoms

Neonatal jaundice is most commonly seen in the skin and mucous membranes, and the sclera, or what we refer to as the eyes, presenting with a yellow discoloration of the white part. The most common symptom is yellowing of the skin. There may also be other symptoms such as crying and restlessness, fever, or rapid and irregular breathing. Some babies might sleep longer than usual, have difficulty feeding, or experience issues with bowel movements, such as a significant decrease in stool frequency or a reduction in urine output. These could be accompanying symptoms of neonatal jaundice. Each baby presents differently with jaundice; more accompanying symptoms often indicate a more severe condition. If the jaundice is limited to skin discoloration without other significant symptoms, it may indicate an early stage of the condition. Generally, if the jaundice is pronounced, it is considered pathological jaundice, and it is advisable to go to the hospital. A pediatric specialist can conduct relevant examinations and decide if immediate intervention and treatment are necessary.

doctor image
home-news-image
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.