Question
On the fifth day after birth, the newborn developed jaundice, along with umbilical cord inflammation and hospitalization for phototherapy treatment. The inquiry is about the severity of the jaundice and its possible causes.
Answer
Based on the description, the newborn’s bilirubin level dropped from over 290 to 138 after phototherapy, which is considered moderate jaundice. Jaundice can be caused by various factors, including umbilical cord infection, hemolytic disease, or drug effects. Treatment should involve controlling infection and monitoring the regression of jaundice. If jaundice persists or worsens, be vigilant for the development of kernicterus and seek medical attention promptly. Additionally, pay attention to the newborn’s diet, mental state, and diaper color to monitor the progression of jaundice.