Question
The newborn is 11 days old and has a bilirubin level of 15, with a hematoma on the head. What treatment should be considered? The baby has undergone four days of blue light therapy, with the bilirubin level dropping from 15 to 12, but two days after returning home, the level rose back to 15, and the hematoma slightly increased.
Answer
A hematoma in newborns may worsen the jaundice condition and should be monitored closely. If the baby is in good spirits and has good appetite, oral medication combined with probiotic treatment can be considered. It is recommended to observe until the 14th day; if the bilirubin level does not decrease, consider repeating the blue light therapy. Head hematomas usually resolve on their own, and they should not be massaged to avoid exacerbating the hematoma. At the same time, encourage the baby to eat more and drink more water to promote metabolism.