Jaundice

References:

  1. Caring for Kids – Jaundice in newborns
  2. Sick Kids-About Kids Health – Jaundice in Newborns


What is Jaundice?

  • A condition that causes a newborn’s skin and the white part of the eyes to appear yellow because there is too much bilirubin in the baby’s blood
  • Bilirubin is a yellow substance that is made from the normal breakdown of old red blood cells
  • Too much bilirubin in the baby’s blood can occur because too much bilirubin is made or because the liver cannot get rid of bilirubin quick enough
  • The body eliminates bilirubin through stool and urine
  • Jaundice can be common in newborns and usually occurs within the first 5 days of life


What Are the Signs and Symptoms of Jaundice?

  • Skin and white part of eyes appear yellow
    • First appears on the face and chest
  • May seem very tired, fussy, and have difficulty feeding
  • High pitched cry


Will Jaundice Hurt my Baby?

  • It is usually not harmful to most babies and disappears once the body learns how to deal with bilirubin
  • In a very small number of babies, the bilirubin level can become too high, and, as a result, can affect the brain cells


How Do I know if My Baby’s Bilirubin is high?

  • All newborns are checked for jaundice before the baby leaves the hospital
    • A blood test is done to check bilirubin levels at 24 hours of life
    • This test informs the healthcare team whether the baby needs treatment, or needs repeat testing


How is Jaundice Treated?

  • Frequently jaundice goes away on its own after 1-2 weeks
  • Sometimes babies require phototherapy to treat jaundice
    • The baby is exposed to a special light
    • The skin absorbs the light and changes the bilirubin so the body can more easily remove it through the urine and stool
    • Phototherapy is usually done in the hospital
    • It is safe, and the eyes and genitals are protected during treatment
  • An increase in the baby’s milk intake can also help to treat jaundice


After we go home, When should I call the doctor?

  • Baby refuses feeds or is not feeding well
  • Baby is sleepy all the time
  • Baby has lost more than 10% of their birth weight
  • Jaundice appears to be getting worse


Further Your Learning:

  1. Sick Kids-About Kids Health – Jaundice in Newborns
  2. HealthLinkBC – Jaundice in Newborns (Hyperbilirubinemia)


Shareable Resource For Clients:

  1. Caring for Kids – Jaundice in newborns