How does neonatal jaundice resolve quickly?

Written by Li Jiao Yan
Neonatology
Updated on September 08, 2024
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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 Li Jiao Yan
Neonatology
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Symptoms of higher neonatal jaundice

Neonatal jaundice is one of the common symptoms during the neonatal period, with about 80% of full-term infants visibly exhibiting jaundice. Jaundice may occur as part of the normal developmental process or as a manifestation of certain diseases. It is categorized into physiological jaundice and pathological jaundice. High levels of jaundice may indicate pathological jaundice. Generally, if the baby's skin and mucous membranes are obviously yellow, and the jaundice has spread to the limbs or even beyond the palms and soles, which are also notably yellow, it is a sign that the jaundice is severe. Parents can typically observe a clear yellowing of the sclera, the white part of the eyes. The baby may also show other signs of discomfort, such as significant crying and restlessness, pronounced vomiting or increased regurgitation, or even symptoms like abdominal bloating, diarrhea, reluctance to feed, prolonged feeding times, lethargy, or potentially even fever and other discomforts.

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Written by Li Jiao Yan
Neonatology
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normal values of neonatal jaundice

Neonatal jaundice is the most common phenomenon in the neonatal period, generally divided into physiological jaundice and pathological jaundice. If the baby's values are within the normal range, it may be physiological jaundice, which does not require special intervention and will resolve on its own. Typically, normal physiological jaundice appears 2-3 days after birth, peaks around 4-5 days, begins to lessen about a week later, and resolves within two weeks, generally occurring in full-term infants born after 37 weeks. It's advisable for babies to have their jaundice monitored daily within the first two weeks, especially during the peak period, from 2-3 days to about a week or around ten days, when jaundice monitoring should be more frequent. Normally, it's best if the bilirubin levels in newborns do not exceed 6 mg/dL in the first 24 hours, 9 mg/dL within 24-48 hours, 12 mg/dL within 48-72 hours, and 15 mg/dL after 72 hours. These values are generally considered acceptable. Additionally, jaundice progression should not be too rapid; if bilirubin levels rise more than 5 mg/dL within 24 hours, it indicates too rapid an increase in jaundice. In such cases, it is also necessary to go to the hospital, where a neonatal doctor should assess the baby and decide if special treatment intervention is needed.

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Written by Shi Ji Peng
Pediatrics
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Is a newborn jaundice level of 15.8 serious?

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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Written by Li Jiao Yan
Neonatology
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Causes of neonatal jaundice

Neonatal jaundice is generally divided into physiological jaundice and pathological jaundice. Physiological jaundice is usually considered a normal phenomenon, where the baby's jaundice can naturally recede without much impact on the baby. If it is pathological jaundice, it means that the jaundice level is high, indicating a pathological condition. Pathological jaundice can be further divided into several types, the most common being elevated direct bilirubin and elevated indirect bilirubin, each with different causes. Common causes of jaundice include increased indirect bilirubin due to infections, hemolysis, and mother-infant blood type incompatibility, such as ABO incompatibility where the mother is type O and the baby is not, or the mother has HR-negative blood and the baby has HR-positive blood. Other factors include reduced thyroid function, enzyme deficiencies such as G6PD deficiency, various types of bleeding like gastrointestinal bleeding, intracranial bleeding, or asphyxia at birth. Conditions like hypoxia or acidosis in the baby can also lead to increased jaundice. Additionally, liver function damage due to viral infections like hepatitis B, cytomegalovirus, and other infectious diseases such as syphilis, as well as other viruses like rubella virus and herpes virus can elevate jaundice levels. Developmental abnormalities of the biliary tract, commonly biliary atresia or congenital bile duct dilation, can cause elevated conjugated bilirubin levels. The causes of jaundice are complex, and some causes might remain unidentified. However, if the baby's general condition is good and the jaundice is manageable, it generally does not affect the baby. If jaundice levels are high, it is advised to visit a hospital where doctors can conduct relevant tests based on the baby's specific condition to determine if treatment is needed.

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Written by Li Jiao Yan
Neonatology
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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.