What should I do if a newborn baby has high jaundice levels a few days after birth?

Oct 14, 2022 Source: Cainiu Health
Dr. Xie Zixing
Introduction
For newborns with high jaundice a few days after birth, if the condition is physiological and mild, it can be improved by increasing fluid intake. For pathological jaundice, especially when it persists for a long time and bilirubin levels are significantly elevated, treatment with blue light phototherapy can be effective, and may be combined with medication. In severe cases of jaundice or when there is evidence of bilirubin encephalopathy, blood exchange transfusion should be promptly performed under medical guidance.

Elevated jaundice in newborns a few days after birth can be treated through fluid supplementation, blue light phototherapy, medication infusion, or blood exchange therapy. The specific treatment method should be chosen based on the severity of the condition.

1. Fluid Supplementation

When the baby's jaundice is physiological and symptoms are mild with slight yellowing of the skin, the condition can be improved by increasing fluid intake. Provide the baby with more warm water and breastfeed according to demand to increase urination and bowel movements.

2. Blue Light Phototherapy

For pathological jaundice that lasts a long time and shows high bilirubin levels, improvement can be achieved through blue light phototherapy. The duration of phototherapy depends on the condition and medical advice. Regular follow-up tests are important; bilirubin levels should generally be rechecked every 6–12 hours.

3. Medication Infusion

If phototherapy proves ineffective or if signs of worsening jaundice appear, intravenous immunoglobulin (IVIG) or albumin may be administered under a doctor’s guidance to rapidly reduce bilirubin levels in the body.

4. Blood Exchange Therapy

In cases of severe jaundice or when bilirubin-induced brain damage (bilirubin encephalopathy) occurs, blood exchange therapy should be promptly performed as recommended by a physician to prevent further progression of the disease and potential brain injury.