Question
The neonatal bilirubin level was 10.7 on the second day after birth, rising to 12.7 on the third day, and treatment with jaundice medication began on the third day. The bilirubin level reached 14.4 on the fourth day. What could be the cause of this situation? How should it be treated? The doctor recommended an albumin injection. What concerns should I have?
Answer
Neonatal bilirubin levels may be slightly elevated physiologically, but if they do not exceed 13.5 within the first 10 days of the peak period, they are considered normal. However, reaching a bilirubin level of 14.4 on the fourth day, accompanied by elevated liver and bile function indicators, may primarily be related to congenital liver and bile inflammation. It is recommended to follow the doctor’s treatment advice, including potential albumin injections, to effectively control the jaundice situation.