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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Written by Li Jiao Yan
Neonatology
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neonatal jaundice subsidence time

Neonatal jaundice is a common phenomenon and a unique condition in newborns. If it is normal physiological jaundice, it generally subsides within two weeks for full-term infants born after 37 weeks. This means that after two weeks, the jaundice is essentially gone; the skin and eyes are no longer yellow, and bilirubin levels are typically below 6-7, which is considered normal. For premature infants, the jaundice generally clears within four weeks. If the jaundice persists longer, there might be some pathological factors involved, and it is advisable to visit a hospital for a thorough evaluation by a doctor to determine if any special treatment is needed.

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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 Li Jiao Yan
Neonatology
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Neonatal jaundice bath Chinese medicine

Neonatal jaundice is called "fetal jaundice" in Traditional Chinese Medicine (TCM). It primarily refers to infants born with jaundice as the main symptom, characterized by yellowing of the skin and facial area. This condition is related to prenatal constitution, hence it is also known as fetal jaundice or fetal dyspepsia. The causes of fetal jaundice are divided into internal and external factors. Internal factors involve the fetus being affected by the toxins of damp-heat or the evil of deficient-cold and damp-cold from the mother. External factors mainly include the baby being affected by damp-heat or cold-damp evils during or after birth, with damp-heat evils being more common. The main affected organs are the liver, gallbladder, spleen, and stomach, with the key pathogenic mechanism being prenatal damp retention. Commonly used Chinese herbal baths for neonatal jaundice, particularly suitable for damp-heat type jaundice, are generally selected based on the specific conditions of the child, adjusting formulas like Yinchenhao Tang to tailor to the exact pattern of the baby.

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Written by Li Jiao Yan
Neonatology
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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.

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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.