Question

Newborn Pediatrics, What should I do if the transcutaneous testing index for jaundice is 16?

Answer

Based on your description, the child has developed jaundice again within two days, which suggests a possible hemolytic jaundice and requires active treatment. If the older child’s blood type is also O, then her jaundice is not hemolytic, which is different from the newborn’s case.

  1. To verify if it is hemolytic jaundice, you can conduct Coomb’s test and other relevant examinations for consultation.
  2. To test bilirubin levels, you can have a blood test for liver function done locally, as most county-level hospitals can perform liver function tests.
  3. It is necessary to expose the child to blue light to help the jaundice fade as soon as possible and prevent it from rising too high, which could affect the brain.