Question
On the fifth day after birth, a newborn’s bilirubin index rose above 400, and the doctor recommended hospitalization. The family seeks to understand what impact such high levels of jaundice may have on the newborn?
Answer
The assessment of neonatal jaundice primarily relies on serum bilirubin levels. Physiological jaundice usually appears within 24 hours of birth and naturally resolves within 14 days, without other symptoms. However, pathological jaundice may be associated with various diseases, such as hemolytic disease, sepsis, hepatitis, or congenital bile duct atresia. When a newborn’s bilirubin level reaches above 400, it should be taken very seriously as this may have a severe impact on the newborn’s health. Treatment should be tailored to the specific cause, and hospitalization may be necessary to monitor the condition and provide appropriate medical intervention.