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31 Οκτ 2023 · This guideline covers diagnosing and treating jaundice, which is caused by increased levels of bilirubin in the blood, in newborn babies (neonates). It aims to help detect or prevent very high levels of bilirubin, which can be harmful if not treated.
The majority of jaundice in well infants is physiological, and does not require investigation and management; Features suggestive of pathological jaundice include: onset <24 hours old, unwell baby, elevated conjugated bilirubin component, prolonged jaundice, pale stool.
31 Αυγ 2022 · Babies with higher bilirubin levels will need brief treatment, which is described below. Jaundice is common in premature babies (those born before 38 weeks). Premature babies are more vulnerable to hyperbilirubinemia because brain toxicity occurs at lower levels of bilirubin than in term babies.
•In healthy term infants total serum bilirubin concentration >15 mg/dL •Lower levels in preterm infants, “sick” infants, and hemolytic disease (See section on Hemolytic Disease of the Newborn, P. 121)
2 Νοε 2022 · Assess all possible risks for jaundice: not just the mother's blood type but also gestational age, family history, any bruising, how early jaundice appears, and other factors. Use a device to check bilirubin level at 24 to 48 hours of life, or sooner if a newborn looks jaundiced or is going home earlier.
6 Ιαν 2022 · Bilirubin levels in the blood tend to peak when your baby is between three and seven days old. So it's important for your doctor to examine your baby for jaundice during that time. When your baby is discharged from the hospital, your doctor or nurse will look for jaundice.
9 Ιαν 2023 · Healthcare providers recommend treatment for newborns when bilirubin levels rise above 15 mg/dL in the first 48 hours or 20 mg/dL after 72 hours. At these levels, unconjugated bilirubin exceeds the amount of available albumin to bind it.
