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Newborn Jaundice

WHAT YOU SHOULD KNOW

Jaundice is a yellowing of the skin and whites of the eyes. In newborns, it often shows up in the first 2 to 4 days. Jaundice appears when there is too much bilirubin (bill-e-RUE-bin) in the body. Bilirubin is a normal breakdown product of red blood cells. It is taken out of the bloodstream by the liver.

Causes

Over half of all newborns have a liver that is not yet working normally, allowing bilirubin to build up in the baby's skin and blood. It is not a serious problem. It usually disappears after 1 to 2 weeks, when the liver is older and working better.

Care

With eyes covered, the baby is placed under lights. These ""phototherapy lights'' help to lower the amount of bilirubin in the baby's body. Time spent under the lights depends on the baby's blood bilirubin level, which is checked daily.

Risks

The risks of serious problems with newborn jaundice are small if you follow your doctor's advice.

WHAT YOU SHOULD DO

  • After leaving the hospital, it's important to observe your baby for signs of jaundice or worsening of any jaundice the baby had in the hospital. The amount of yellowishness is best determined by viewing the baby undressed in natural sunlight by a window.
  • You may give your baby a sun bath for 10 to 15 minutes twice a day inside a sunny window.

Call Your Doctor If...

  • Your baby develops jaundice during the first 48 hours of life, the jaundice involves the arms or legs, the color gets deeper after 1 week, or the jaundice is not gone by day 14.

Seek Care Immediately If...

  • Your baby starts to act sick or is difficult to awaken.



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