Question
After ten days of birth, the neonate’s bilirubin index reached 28, and the doctor recommended phototherapy. However, there is an opinion that jaundice may be caused by breastfeeding, especially when the mother has high blood pressure and takes antihypertensive drugs after delivery. How should neonates with elevated bilirubin levels be treated?
Answer
When a neonate exhibits jaundice, it is crucial to first determine the cause before initiating treatment. If jaundice appears within 24 hours after birth, hemolytic jaundice may be considered; if direct bilirubin levels are elevated, viral infection or liver and bile diseases should be considered. Additionally, there is also a possibility of familial jaundice. If breastfeeding jaundice is suspected, breastfeeding can be temporarily suspended for three days to observe if the jaundice improves significantly. If the bilirubin level decreases and then rises again, further examination is required. For neonates with severe jaundice, it is recommended to seek immediate medical attention and follow the doctor’s guidance for treatment, avoiding blind use