Question
What causes high hemoglobin levels in newborns? My child was born at 35+4 weeks premature, and the biochemical tests show elevated hemoglobin levels. The total bilirubin is 139.28 umol/L, the direct bilirubin is 9.10 umol/L, and the indirect bilirubin is 130.19 umol/L. The indirect bilirubin is significantly elevated. The doctor has taken 8 milliliters of exchange transfusion treatment, but now the child’s whole body still appears rather red. What could be the cause of this problem, and is the doctor’s treatment approach appropriate? How should further treatment be carried out? Thank you!
Answer
Hello, there are many types of jaundice, such as hemolysis, liver damage, and bile duct blockage, which can all lead to increased bilirubin levels and manifest as jaundice, a common phenomenon in infants. There is no need to worry excessively.