Neonatal jaundice peak period is a few days.

Written by Li Jiao Yan
Neonatology
Updated on March 09, 2025
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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.

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Written by Li Jiao Yan
Neonatology
1min 11sec home-news-image

Newborn jaundice can be divided into several types.

Neonatal jaundice is one of the common symptoms during the neonatal period, especially in early newborns. It can be a symptom of the normal developmental process of newborns, or it can be a manifestation of certain diseases. Neonatal jaundice is relatively common in newborns, with about 80% of full-term infants visibly showing jaundice. Jaundice is classified into physiological jaundice and pathological jaundice. If it is pathological jaundice, there are different classifications. Based on different characteristics of bilirubin elevation, it is divided into high direct bilirubinemia and high indirect bilirubinemia. Physiological jaundice does not require intervention. However, if it is pathological jaundice, it is necessary to clarify its classification and determine which type it belongs to. Generally, if it is pathological jaundice, timely intervention and treatment are needed. If untreated, and if the jaundice level significantly increases, it may lead to serious complications.

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Written by Li Jiao Yan
Neonatology
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How to treat neonatal jaundice

Neonatal jaundice is the most common phenomenon during the neonatal period and generally falls into two categories: physiological jaundice and pathological jaundice. As the name suggests, physiological jaundice is a normal physiological phenomenon. It typically appears in full-term babies on days 2-3, peaks on days 4-5, and gradually decreases around day 7, and completely subsides within two weeks. This type does not require intervention as the baby is generally in good condition and usually does not need treatment. Jaundice that appears early, progresses quickly, is severe, or lasts a long time is considered pathological jaundice. The diagnosis of pathological jaundice is generally made by a doctor. It is recommended that babies be monitored daily for jaundice within the first two weeks after birth. Based on the bilirubin levels, if it is high, it is advisable to seek a thorough examination from a neonatologist. Pathological jaundice requires timely intervention, especially considering liver function. If there is a significant increase in indirect bilirubin, this type of jaundice can be neurotoxic. Persistent high jaundice might affect the brain, so prompt intervention is necessary. Hospitalization for jaundice treatment will depend on the cause, and treatment will be symptomatic. The cause might be other pathological factors; removing the cause while treating the jaundice is the usual approach. Common treatment for high indirect bilirubin involves phototherapy. If conjugated bilirubin is elevated, the underlying cause might be more complex and treatment more challenging. Therefore, if jaundice is detected and there is uncertainty, it is advised to promptly visit a hospital for intervention by a neonatal specialist and necessary treatment.

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Written by Li Jiao Yan
Neonatology
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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.

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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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How to test for neonatal jaundice?

Neonatal jaundice is relatively common during the newborn period, with about 80% of full-term babies showing visible yellowing of the skin. Typically, jaundice is measured using a jaundice meter, such devices are available in common community hospitals as well as in major hospitals like People's Hospital or maternity and children's health facilities, or other comprehensive hospitals. This is generally done through transcutaneous bilirubin measurement. If the transcutaneous bilirubin levels are high, it is necessary to determine the specific degree of jaundice, at which point a blood test to check liver function is required to assess the bilirubin levels more precisely.