Newborn Developed Jaundice Just After Birth. Started Phototherapy. Any Complication?
 
                                    
                                    
                                          
                                               Posted on
                                          
                                            
                                         
                                           Wed, 30 Jan 2013
                                           
                                        
                                        
                                        
                                            Medically reviewed by
                                            
                                                  Ask A Doctor - 24x7 Medical Review Team
                                            
                                        
                                        
                                            
                                                
                                                Wed, 30 Jan 2013
                                                
                                            
                                                Answered on
                                             
                                            
                                                
                                                Tue, 19 Feb 2013
                                                
                                                
                                                Last reviewed on
                                             
                                            Question : Hi madam
My sister gave birth to male baby having 4.5 kgs on 20 XXXXXXX 20 days earlier as date given by doctor in my hometown by sigerian, he was healthy. After three days doctor observed jaundice for him blood test has 19 billibrun level and started giving phototerapy. second day of phototerapy gave billibrun level was 18. fourth day it was 14. 6th day it is 16. Indirect billubirun level is 0.5 after fouth day. but baby is healty he drinks milk. is it any serious issue
                            My sister gave birth to male baby having 4.5 kgs on 20 XXXXXXX 20 days earlier as date given by doctor in my hometown by sigerian, he was healthy. After three days doctor observed jaundice for him blood test has 19 billibrun level and started giving phototerapy. second day of phototerapy gave billibrun level was 18. fourth day it was 14. 6th day it is 16. Indirect billubirun level is 0.5 after fouth day. but baby is healty he drinks milk. is it any serious issue
                                    Hi,
Thank you for your query.
20% of newborn babies develop jaundice after birth. This is called physiological jaundice and occurs due break down of fetal blood cells. It starts from day 3 and ends before day 14 of life.
Please clarify whether the direct bilirubin is more than the indirect bilirubin? Could you check the reports once more?
Since the baby is a "big baby" and probably has more RBC mass, he is having more jaundice.
But the levels are not alarming and phototherapy is the treatment of choice.
He should be Ok within a few days.
Hope this answers your query. If you have any other queries kindly direct them to me.
Wishing the child a speedy recovery...
Regards
                                    
                                    
                                    
                                    
                                    
                            Thank you for your query.
20% of newborn babies develop jaundice after birth. This is called physiological jaundice and occurs due break down of fetal blood cells. It starts from day 3 and ends before day 14 of life.
Please clarify whether the direct bilirubin is more than the indirect bilirubin? Could you check the reports once more?
Since the baby is a "big baby" and probably has more RBC mass, he is having more jaundice.
But the levels are not alarming and phototherapy is the treatment of choice.
He should be Ok within a few days.
Hope this answers your query. If you have any other queries kindly direct them to me.
Wishing the child a speedy recovery...
Regards
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr.  Prasad
                                  
                              
                                         
 
                                    
                                    
                                
 
                                    Hi
what are the desired values to be for an new born baby
as we checked scanning,urine test, everything is fine
Regards XXXXXXX
                            what are the desired values to be for an new born baby
as we checked scanning,urine test, everything is fine
Regards XXXXXXX
                                    Hi,
Usually the unconjugated (Indirect) fraction is much more than the direct bilirubin.
But I think that you quoted the direct fraction as indirect.
However any bilirubin below 20 should be safe for the first 10 days. The rest will decrease over time and will be < 2mg/dl finally.
As the other tests are normal the baby should recover fast.
Hope this answers your query. Let me know if you have other concerns.
Regards
                                    
                                    
                                    
                                    
                                    
                            Usually the unconjugated (Indirect) fraction is much more than the direct bilirubin.
But I think that you quoted the direct fraction as indirect.
However any bilirubin below 20 should be safe for the first 10 days. The rest will decrease over time and will be < 2mg/dl finally.
As the other tests are normal the baby should recover fast.
Hope this answers your query. Let me know if you have other concerns.
Regards
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr.  Prasad
                                  
                              
                                         
 
                                    
                                    
                                Answered by
                                                    Get personalised answers from verified doctor in minutes across 80+ specialties
                        
                                
                                