Jaundice in Newborns (Pediatric Advice)

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Jaundice in Newborns

Newborns always have some degree of jaundice. While in the womb, babies have a lot of circulating red blood cells in order to carry oxygen from the umbilical cord. At birth, when the lungs take over the job of oxygen delivery, the newborn no longer needs all the red blood cells and so many are programmed to break down in the first week of life. It is the break down of these red blood cells that releases the pigment bilirubin that makes babies jaundiced.
Jaundice is not to be feared, but if it is very high, then you may need to take measures to lower the bilirubin. Levels of bilirubin in the 20’s for days or weeks can be dangerous for the brain and can cause a permanent type of brain damage called kernicterus. This is very rare, but totally avoidable. Careful monitoring when your infant looks yellow will allow us to determine whether or not your baby is at any risk.

The important thing to know is what you can do about your babies jaundice. The key way bilirubin is eliminated from the body is by adequate nutrition. Hopefully your baby is breast feeding, but if not, then they are most likely on formula. It is the volume of breast milk or formula that will help the baby reduce the bilirubin. By making sure your baby is hydrated with breast milk and/or formula, you are helping your baby to process and eliminate these high levels of bilirubin.

Light therapy in the form of a bilirubin blanket may occasionally be needed. If your baby loses beyond 10% of their birth weight and has significant bilirubin levels making them sleepy, you may need to supplement your baby with donor milk or formula if your breast milk has not yet come in adequately.

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Comments

paulthomasmd says:

it is the volume of feeding that helps reduce jaundice. I’m not aware of
studies showing sugars help. 

Fairy Laurence says:

My little daughter have jaundice 239.. I to worry about that.. 

duha hamdan says:

Hi .. Doctor … I’ve heard grandmothers say that sugars help to decrese
the billirubin in newborns .. Is this true beliefs ???


Aejaz kate says:

Really appreciate the way of explanation which is hardly done in India
instead Doctors here scares parents about it and try to make as much money
as possible

Victor Cedeno says:

Wow I understand it a lot better now. Thanks

Precious Elvington says:

I was born with it also. but i dont have it now.

Mav Barrida says:

thanks for sharing this video! its really relieving.

paulthomasmd says:

you are welcome. thanks for tunining in

Ian cadano says:

hi sir my baby got 30 level of bilirubin and he under go with blood
transfusion, in my son case does he really need to go with blood
transfusion? thanks so much

That BMW Nut says:

I am a male nursing student currently in OB rotations, and hoping to work
in newborn care after graduation. This is awesome information, thanks! 

Paul Thomas says:

for the response with bioi of 19 – sorry for the laste response – I will be
on top of these better in the future. Clearly you would have gone to a
doctor if the jaundice persists past 2 weeks, and sooner if severe.

Amogh Gokhale says:

Very nice information. My son started showing symptoms on day 3 and the
levels are near 11. He is undergoing the UV treatment now.. watching this
video eased me a lot..

Paul Thomas says:

Grandmothers are the BEST!
thanks for tuning in.

Henry Rothmas says:

infant’s RBC with life span of 80-100days instead of normal adult 120days,
so in the process of physiological adaptation of new born they have turning
the 80-100 RBC to 120days norm rbc, most rbc are broken down thus
physiological jaundice.

nimosack says:

Thank you :) 

byron huerta says:

Thanks it was very helpful

Thee Butter Apple says:

My newborn have jaundice, her level was 19.6, how long will it take to care.

willthebest1 says:

helpful indeed…thanks

paulthomasmd says:

You are most welcome.

DjKamran100 says:

I had jaundice when I was 8 months old and then it was cured cos my mom
took me to the hospital. She told me this just now and it’s really scary.

Katie X says:

Thank you from a grandmother!

paulthomasmd says:

You are welcome.

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