Question

Does the neonatal jaundice index experience fluctuations, with highs and lows? If the jaundice index has already decreased but suddenly rises again, what could be the cause?

Answer

If the neonatal jaundice index fluctuates between high and low levels, it typically indicates that control and stability have not yet reached an ideal state. Treatment primarily involves blue light therapy and oral medication, and intravenous injection of anti-jaundice drugs may also be used. As long as the jaundice index can be reduced in a timely manner, fluctuations in the index itself are not a major issue. The key is to avoid triggering serious complications such as bilirubin encephalopathy or nuclear jaundice. In severe cases, alternative therapies may be required.