Question
A newborn premature by one month, weighing 4.6 pounds, was diagnosed with sickle cell anemia and discharged after a week of hospitalization under blue light treatment. Three days after discharge, the bilirubin index was normal during re-examination, but three days later, it was found that the bilirubin index had reached 130, showing a rebound phenomenon. What should be done?
Answer
Newborns often experience physiological jaundice shortly after birth, which usually lasts about half a month. During this period, it is important to provide ample fluids to promote bilirubin metabolism and to closely monitor the condition. If the bilirubin index remains persistently high, further examination of liver function and ultrasound of the biliary system should be conducted to determine the cause of jaundice. Once the cause is identified, appropriate treatment measures should be taken immediately.