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Neonatal
Jaundice
Myths and Facts
Dr. Lavanya,
DNB Paediatrics, MRCPCH Paediatrician
A4 Hospital and Fertility Centre
Neonatal jaundice
is the yellow
discoloration of
skin and eye due
to increased
bilirubin
production from
the liver
Why jaundice occurs in neonates
● Bilirubin is produced from
breakdown of red blood cells
● In fetal life the
number of red cells are
more than in adults
● Once a baby is born it
sheds the excess red
blood cells which
results in mild
jaundice called as
physiological jaundice
Babies at increased risk of
getting jaundice
● Preterm babies(less than
37 weeks)
● Babies who are not
getting sufficient
breast milk
● Babies whose blood group
is not compatible with
mother
Other causes of newborn jaundice
● Bruising at birth or internal bleed
● Liver problems
● Infection
● Enzyme deficiency
● Abnormality in baby red blood cell
How is jaundice diagnosed
● A yellow discoloration of the skin
● Confirmatory blood test
● Bilirubin peaks up 3-7 days after
birth so it is important to bring
baby for check up few days after
birth
● Additional blood test might be
need sometimes to find out cause
Serum
Unconjugated
Bilirubin
Level
Treatment of jaundice
Mild jaundice
• Resolves on its own as liver matures
• Frequent feeding will help bilirubin to
be excretes out of body
Moderate
jaundice
Phototherapy a blue light which breaks
the bilirubin and helps its excretion
Treatment of jaundice
Severe
jaundice
Replacement of
baby damage
blood cells with
healthy donor
blood cell
Myths and facts
jaundice
Neonatal jaundice
is caused by food
and drug
consumed by
mother
Myths Facts
Diet and drugs
taken by mother
does not contribute
to jaundice in baby
Neonatal jaundice
is harmless and
needs no attention
Myths Facts
• Most of the time
neonatal jaundice can
be harmless but it
does need attention
and monitoring
• Severe jaundice can
affect hearing and the
brain
Jaundice can be
treated by sunlight
therapy
Myths Facts
• Sunlight might help in
decreasing jaundice but
still follow up is
necessary to asses
jaundice
• Newborn baby can get
dehydrated when kept in
too much sunlight this
can worsen jaundice
Newborn should be fed
with water to decrease
jaundice
Myths Facts
• Feeding water to
babies will fill their
tummy and decrease
milk intake
Newborn afflicted with
jaundice will get it
later in life
Myths Facts
• Most neonatal jaundice
are physiological and
happen only in the first
few days of life
• Jaundice that manifest
late in life has usually no
association with neonatal
jaundice
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Jaundice myths and facts by a4 hospital

  • 1. Neonatal Jaundice Myths and Facts Dr. Lavanya, DNB Paediatrics, MRCPCH Paediatrician A4 Hospital and Fertility Centre
  • 2. Neonatal jaundice is the yellow discoloration of skin and eye due to increased bilirubin production from the liver
  • 3. Why jaundice occurs in neonates ● Bilirubin is produced from breakdown of red blood cells ● In fetal life the number of red cells are more than in adults ● Once a baby is born it sheds the excess red blood cells which results in mild jaundice called as physiological jaundice
  • 4. Babies at increased risk of getting jaundice ● Preterm babies(less than 37 weeks) ● Babies who are not getting sufficient breast milk ● Babies whose blood group is not compatible with mother
  • 5. Other causes of newborn jaundice ● Bruising at birth or internal bleed ● Liver problems ● Infection ● Enzyme deficiency ● Abnormality in baby red blood cell
  • 6. How is jaundice diagnosed ● A yellow discoloration of the skin ● Confirmatory blood test ● Bilirubin peaks up 3-7 days after birth so it is important to bring baby for check up few days after birth ● Additional blood test might be need sometimes to find out cause
  • 8. Treatment of jaundice Mild jaundice • Resolves on its own as liver matures • Frequent feeding will help bilirubin to be excretes out of body Moderate jaundice Phototherapy a blue light which breaks the bilirubin and helps its excretion
  • 9. Treatment of jaundice Severe jaundice Replacement of baby damage blood cells with healthy donor blood cell
  • 11. Neonatal jaundice is caused by food and drug consumed by mother Myths Facts Diet and drugs taken by mother does not contribute to jaundice in baby
  • 12. Neonatal jaundice is harmless and needs no attention Myths Facts • Most of the time neonatal jaundice can be harmless but it does need attention and monitoring • Severe jaundice can affect hearing and the brain
  • 13. Jaundice can be treated by sunlight therapy Myths Facts • Sunlight might help in decreasing jaundice but still follow up is necessary to asses jaundice • Newborn baby can get dehydrated when kept in too much sunlight this can worsen jaundice
  • 14. Newborn should be fed with water to decrease jaundice Myths Facts • Feeding water to babies will fill their tummy and decrease milk intake
  • 15. Newborn afflicted with jaundice will get it later in life Myths Facts • Most neonatal jaundice are physiological and happen only in the first few days of life • Jaundice that manifest late in life has usually no association with neonatal jaundice