The newborn’s jaundice has not subsided after 21 days, with a total bilirubin level of 151, direct bilirubin of 9.1, and indirect bilirubin of 142. The doctor advises hospitalization for observation and treatment. Is this serious? Or can medication lower the levels? Urgent!
What should be done if a newborn has a blood level of over 200 in their jaundice?
Newborn Jaundice Treatment Recommendations
What should be done if a newborn’s jaundice persists for 20 days after birth, with an average jaundice index of 14.5 on the face, 13 on the chest, and 12 on the arms and legs?
If your baby has persistent jaundice, it’s important to take them to the hospital for a check-up to identify the cause and receive appropriate treatment.
Offer treatment methods for persistent jaundice on a newborn’s face, including the causes, classifications, treatment, and preventive measures.
What should be done if neonatal jaundice recurs after it has subsided?
A 4-month-old baby experienced recurrent jaundice for the first three months, with the jaundice largely subsiding at three and a half months. However, liver function tests revealed liver damage, prompting a one-week hospital stay for intravenous liver protection therapy. The alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels returned to normal upon discharge. Yet, after a week of medication at home and another liver function test, the ALT levels rose again.
When a baby reaches one month old and tests for jaundice, the level decreases after stopping breastfeeding but rises again when breastfeeding is resumed. Currently, the jaundice level is 11.3. If the baby is breastfeeding normally, has normal bowel movements, and shows no other abnormalities, the current jaundice can be managed by observation alone. Use a dark cloth to cover the baby’s eyes when exposed to sunlight. Aim for about 20 minutes in the morning and afternoon, but avoid excessive exposure. After taking medication, go to the hospital in 3-5 days to check if the jaundice level has decreased. If the jaundice persists or continues to rise, hospital-based blue light therapy should be considered.
The baby is 9 days old and should still be in the physiological jaundice period. If the jaundice index reaches 15, phototherapy is recommended. When treating neonatal jaundice, in addition to immediate treatment, the patient’s dietary status and mental state are also very important.
