Question
The baby was found to have jaundice on the third day after birth. Now, on the 10th day, the jaundice level is 247. The baby is alert and responsive, with no abnormalities found during cardiovascular and lung percussion, and normal bowel movements.
Answer
During the period of physiological jaundice, the jaundice level in full-term infants should be less than 221μmol/L, and in preterm infants less than 256μmol/L. The value of 247 is not severe, but phototherapy is a safer option to prevent brain damage. If phototherapy is not accepted, oral jaundice-reducing medication can be chosen, and a recheck should be scheduled for the second week. If the jaundice level remains high after rechecking, treatment is required.