What causes jaundice in newborns?

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

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How long does it take for neonatal jaundice to completely resolve?

Neonatal jaundice is the most common phenomenon in newborns. Generally, if it is physiological jaundice, for full-term infants, which are babies born after a full 37 weeks, the jaundice should resolve within two weeks. For preterm babies, those born before 37 weeks, the duration may be slightly longer, possibly lasting three to four weeks, but generally, it should clear up by four weeks. If it extends beyond these durations, like more than two weeks in full-term infants or more than four weeks in preterm infants, this is considered excessively prolonged jaundice. In such cases, a visit to the hospital is necessary. Doctors need to perform relevant checks to assess the severity of the jaundice and determine if there are any pathological factors involved. If pathological factors are present, timely intervention and treatment are required.

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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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How does neonatal jaundice resolve quickly?

Neonatal jaundice is one of the common symptoms during the newborn period. It can be divided into physiological and pathological jaundice. Physiological jaundice typically appears in full-term infants two to three days after birth and peaks around the fourth to fifth day. It usually subsides around ten days and generally doesn't last more than two weeks. Physiological neonatal jaundice typically doesn't require intervention. If it is pathological jaundice, where the jaundice progresses quickly and is severe, it is important to consider whether hospital treatment is necessary. The quickest and most effective treatment for severe jaundice is phototherapy with blue light to reduce the bilirubin levels. Additionally, if there are pathological causes, such as infection or hemolysis, treatment should target these underlying causes. Even though phototherapy can reduce bilirubin levels, jaundice may rebound if the underlying issues are not promptly controlled. Therefore, treatment of pathological jaundice should focus on addressing the causes and symptomatic phototherapy.

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Written by Yao Li Qin
Pediatrics
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Which department should a newborn with jaundice go to?

If a newborn has jaundice, it is first necessary to distinguish whether it is physiological jaundice or pathological jaundice. For physiological jaundice, it is self-healing, so there is no need to visit a hospital. As for pathological jaundice, it occurs within 24 hours after birth, or the daily increase in jaundice is particularly large, exceeding the normal range. In such cases, the child should be taken to the hospital for timely medical treatment. Generally, for general hospitals, it is appropriate to visit the pediatric department. If it is a children's hospital or a municipal maternal and child health hospital, then the child should be taken to the neonatology department. Neonatologists will actively treat the child's jaundice and, as a rule, pathological jaundice requires hospitalization.

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Written by Li Jiao Yan
Neonatology
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How long is the incubation period for neonatal jaundice?

Neonatal jaundice is the most common phenomenon in the neonatal period, especially in early neonates, which refers to newborns within the first week of life. About 80% of full-term infants can visually exhibit signs of jaundice. Jaundice can be categorized into physiological jaundice and pathological jaundice. Typically, physiological jaundice appears about two to three days after birth. If it is pathological jaundice, it may appear earlier, possibly within the first twenty-four hours after birth. Generally, if the jaundice appears early, progresses quickly, and is severe, it is necessary to intervene and treat promptly.