Neonatal jaundice


Will neonatal jaundice recur?
Neonatal jaundice is a common symptom during the newborn period. It can be a symptom of normal growth and development or an indication of certain diseases. Jaundice is divided into physiological and pathological jaundice. Physiological jaundice generally appears two to three days after birth, reaches its peak around four to five days, and subsides around ten days. Generally, the duration of jaundice in babies does not exceed two weeks, and the situation is usually manageable. Once physiological jaundice has subsided, it does not recur. If jaundice reappears after it has completely resolved, it is necessary to be cautious as it may indicate pathological jaundice. In such cases, it is advisable to visit the hospital where doctors can conduct relevant tests based on the baby's condition. If it is confirmed that the pathological jaundice needs treatment, it is recommended to intervene and treat it early.


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.)


Do newborns with jaundice feel uncomfortable?
Neonatal jaundice is one of the most common symptoms during the newborn period. It can be a normal physiological phenomenon occurring in the baby's development process, or it may indicate some diseases. Neonatal jaundice is divided into physiological jaundice and pathological jaundice. Generally, the degree of jaundice in physiological jaundice is not very high, and the general condition is still okay. The baby does not show any special discomfort. However, if it is pathological jaundice, the jaundice usually lasts longer and progresses faster with a more severe degree. There might be other discomforts, such as obvious crying and restlessness, possibly even fever, and other symptoms like sleepiness or refusal to feed. Therefore, if the jaundice is slightly high, the general condition is still manageable, and parents should not worry too much. However, if there are obvious discomforts, it is recommended to visit the hospital promptly because if a newborn baby gets sick and is not treated in time, the condition can progress quickly.


What are the symptoms of neonatal jaundice?
Neonatal jaundice generally appears on the 2nd to 3rd day after birth and can manifest with yellowing of the skin, conjunctiva, and oral mucosa. The degree of jaundice varies, usually more noticeable on the face and chest, but not present on the palms of the hands or soles of the feet. It is most apparent on the 4th to 6th day after birth. The duration of jaundice also varies; in full-term infants, jaundice typically subsides within 10-14 days after birth, whereas in premature infants, it can last until the third or even the fourth week. During this period, infants with physiological jaundice are generally in good condition without any other discomfort and do not require treatment. However, pathological jaundice must be investigated for its cause. Pathological jaundice is primarily characterized by an early onset, severe degree, prolonged duration, or recurrence of jaundice. In such cases, it is classified as pathological jaundice, and it is crucial to actively search for the cause and treat accordingly based on the identified cause.


Neonatal jaundice peak period is a few days.
Neonatal jaundice is one of the common symptoms during the neonatal period; it could be a normal physiological phenomenon, or it might be an external manifestation of certain diseases. Typically, physiological jaundice appears two to three days after birth, reaches its peak within four to five days in full-term infants, and may appear sooner and be more severe in preterm infants due to their less mature liver function. The peak period lasts longer for preterm babies; generally, in full-term infants, jaundice usually starts declining about a week later, subsiding around ten days, generally not lasting more than two weeks.


When does neonatal jaundice go away?
Neonatal jaundice is a common phenomenon in the newborn period, with 80% of full-term infants visibly exhibiting jaundice. Jaundice is divided into physiological jaundice and pathological jaundice. In full-term infants, physiological jaundice generally lasts about two weeks and ordinarily subsides within that time. For preterm infants, it typically does not last more than four weeks. However, if the jaundice progresses quickly, appears early, and is severe, reaching pathological levels, intervention and treatment are necessary. The duration of jaundice can vary depending on the baby’s condition. Without intervention, the duration of jaundice may be prolonged. Therefore, it is advisable to regularly monitor jaundice and actively intervene with treatment if abnormalities are present.


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.


What causes jaundice in newborns?
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.


neonatal jaundice safe value
Neonatal jaundice is one of the common symptoms during the newborn period; it can be a normal physiological phenomenon or an external manifestation of certain diseases. Generally, about 80% of full-term infants can be visibly seen having yellow-tinted skin. There is a normal range for monitoring jaundice. For full-term infants, this should not exceed 6 within the first 24 hours after birth, not exceed 9 within 48 hours, not exceed 12 within 72 hours, and not exceed 15 after 72 hours. If these values are exceeded, it is advisable to visit a hospital, where a pediatrician can conduct relevant examinations based on the infant’s specific condition. If pathological jaundice is diagnosed, timely intervention and treatment are necessary.


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.