Question
The child was born at 37 weeks and 5 days via cesarean section, and jaundice appeared again on the third day, with the highest reading reaching 22.7. Today’s measurement is 20. What is the best course of action?
Answer
Based on the description, if a newborn exhibits jaundice and transcutaneous measurement shows a bilirubin level over 20, it is advised to arrange for immediate hospitalization for treatment, including blood bilirubin testing, and possibly phototherapy with blue light to reduce the jaundice. Given that the bilirubin level is high and appeared early, failing to address it promptly may lead to bilirubin encephalopathy, which can affect the child’s future cognitive development.