What should I do if my baby has high jaundice levels two days after birth?

Oct 14, 2022 Source: Cainiu Health
Dr. Xie Zixing
Introduction
For newborns with high jaundice levels two days after birth, treatment should be based on the type of jaundice. If the elevated physiological jaundice is due to weak bilirubin processing capacity of liver cells, no special treatment is required; enhancing feeding will allow gradual spontaneous recovery. However, if the elevated pathological jaundice results from impaired bile excretion, medications such as phenobarbital, albumin, or ursodeoxycholic acid may be used under medical guidance.

Babies with high jaundice levels two days after birth should be treated according to the type of jaundice, which can be analyzed in terms of physiological and pathological causes.

1. Physiological Jaundice

If elevated physiological jaundice is caused by immature liver cell processing of bilirubin, excessive bilirubin production, or increased reabsorption of bilirubin, it is generally not serious. Provided no other complications arise, special drug treatment is usually unnecessary. The condition typically resolves gradually with enhanced feeding.

2. Pathological Jaundice

If elevated jaundice is due to pathological causes such as impaired bile excretion or abnormal bilirubin metabolism in the liver, prompt medical attention is recommended. Under a doctor's guidance, medications such as phenobarbital, albumin, or ursodeoxycholic acid may be used to promote bilirubin metabolism and reduce blood bilirubin levels. However, if symptoms are particularly severe and potentially life-threatening, immediate plasma exchange should be performed under medical supervision in addition to medication to rapidly lower bilirubin levels.