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Jaundice in Newborns(2)
MANAGEMENT AND TREATMENT
How is jaundice in newborns treated?
Treatment for jaundice in newborns isn’t
usually necessary. Mild levels of jaundice typically go away on their own as
your baby’s liver continues to develop. This can take one to two weeks. Feeding
your baby often (10 to 12 times a day) can encourage pooping (bowel movements).
This helps your baby rid their body of the excess bilirubin.
If your baby’s bilirubin level is high or
continues to rise, their healthcare provider may
recommend phototherapy treatment. During phototherapy, your baby will
be undressed and placed under special blue lights. They’ll wear only a diaper
and a mask to protect their eyes. Phototherapy helps your baby’s liver get rid
of excess bilirubin. The lights won’t harm your baby. Phototherapy treatment
takes one to two days. If your baby’s bilirubin levels aren’t too high, you may
be able to treat your baby with light therapy at home.
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In rare cases when phototherapy doesn’t work,
your baby’s healthcare provider may recommend an exchange transfusion.
With an exchange transfusion, some of your baby’s blood is replaced with fresh,
donated blood.
PREVENTION
How can I prevent jaundice in my
newborn?
Jaundice in newborns is normal and usually
can’t be prevented. You can reduce the risk that your baby will develop severe
jaundice by feeding them often. Frequent feedings stimulate regular bowel
movements which will help your baby get rid of the bilirubin.
- Breastfed
babies: You should breastfeed your baby eight to 12 times a day
during their first week of life.
- Formula-fed
babies: You should give your baby one to two ounces (30 to 60 milliliters)
of formula every two to three hours during their first week of
life. Ensure at least eight feeds in a 24-hour period.
Also, make sure your baby’s healthcare
provider checks your baby’s bilirubin level before you leave the hospital.
Schedule a follow-up visit during your baby’s first week of life to have the
bilirubin level checked again.
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OUTLOOK / PROGNOSIS
How long does jaundice in newborns
last?
Jaundice in newborns is normal. It usually
develops by their second or third day of life. In formula-fed babies, jaundice
typically goes away on its own within two weeks. In breastfed babies, jaundice
can last a month or longer.
What is the outlook for jaundice in
newborns?
Jaundice in newborns is common. For most
babies, jaundice will get better without treatment within one to two weeks. But
it’s important to have your baby’s bilirubin level checked. A high bilirubin
level can lead to serious health conditions if it’s not treated immediately.
These conditions include cerebral palsy, deafness and kernicterus, a type of brain damage.
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LIVING WITH
When should my baby see their
healthcare provider?
You should return for a visit with your baby’s
healthcare provider shortly after leaving the hospital. Your baby’s bilirubin
level will be at its highest when they’re between three and five days old. The
timing of your visit will depend on your baby’s age when you left the hospital,
their bilirubin level when you left the hospital and other factors.
When should I call my baby’s
healthcare provider?
You should contact your baby’s healthcare
provider if their jaundice increases or lasts longer than two weeks. Symptoms
of severe jaundice may include:
- Your
baby’s skin turns brighter yellow or orange.
- Your
baby is very sleepy, including difficult to wake for feeds.
- Your
baby is very fussy.
- Your
baby isn’t nursing well or sucking from a bottle well.
- Your
baby isn’t making enough wet and/or dirty diapers.
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When should I go to the ER?
Call 911 or go to your nearest emergency room
if your baby has a:
- High-pitched
cry.
- Fever.
- Arched
body (head/neck or heels bent back and body forward).
- Stiff,
limp or floppy body.
What questions should I ask my baby’s
healthcare provider?
Jaundice in your newborn can be alarming. It’s
normal to have questions if your baby develops jaundice in the
hospital or after you’ve left for home. Common questions you may want to
ask their healthcare provider include:
- How
can I tell if my baby has jaundice?
- What
complications can occur from jaundice?
- Will
my baby need treatment for jaundice?
- Can
I treat my baby’s jaundice at home?
- Can
phototherapy harm my baby?
- How
long does it take for jaundice to go away?
- When
should we return for a follow-up visit?
A note from Cleveland Clinic
You may be a little worried if your baby looks
yellow, but jaundice is a very common condition in newborns. Your baby’s
healthcare provider should check your baby’s bilirubin level before you leave
the hospital and again within five days of birth. While jaundice is usually not
serious, it can be dangerous if not treated properly. If your newborn baby’s
jaundice hasn’t improved or seems worse, call your baby’s healthcare provider
right away. They can give your baby another bilirubin test to ensure they’re on
their way to good health.
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With my best wishes