What should I do if my baby has jaundice? How does it affect the baby?

2022-04-18

It is also very common when a child develops jaundice. For everyone's health, the harm is not too big, but everyone should pay attention to prevention and improvement. Baby jaundice is also divided into physiological and pathological, for the health of the child, early detection and treatment will be faster. So, what are the symptoms of jaundice in babies? Let's take a look together.
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How to distinguish between physiological jaundice and pathological jaundice?
Characteristics of physiological jaundice:
Feature 1: Baby jaundice appeared and gradually deepened 2-3 days after birth, reached a peak on 4-6 days, and gradually decreased from the 2nd week.
Feature 2: The baby's jaundice has a certain limit, and its color will not be golden yellow. Baby jaundice is mainly distributed in the face and trunk, while the calves, forearms, hands and soles of the feet often have no obvious jaundice. If blood is drawn to measure bilirubin, it should not exceed 12 mg/dL for full-term infants and 15 mg/dL for premature infants at the peak of jaundice.
Feature 3: Physiological jaundice of term infants basically subsided in the second week, and physiological jaundice of premature infants generally subsided in the third week.
Feature 4: The child has a normal body temperature, a good appetite, a gradual increase in weight, and normal stool and urine color.
Baby jaundice with one of the following characteristics should be considered as pathological jaundice:
Feature 1: The baby's jaundice appeared prematurely. Jaundice develops within 24 hours of birth in term infants and within 48 hours in preterm infants.
Feature 2: Severe jaundice. Serum bilirubin exceeds the average level of normal children of the same age, or increases by more than 85.5 μmol/L (5 mg/dl) per day.
Feature 3: The baby's jaundice progresses very quickly, that is, it deepens a lot in one day.
Feature 4: The baby's jaundice lasts for a long time (more than 2 weeks for full-term infants and more than 3 weeks for premature infants) or reappears after the jaundice subsides.
Feature 5: The baby's jaundice is accompanied by other clinical symptoms, or the serum conjugated bilirubin is greater than 25.7 μmol/L (1.5 mg/dl).
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What should I do if my baby's jaundice does not go away?
Common causes and treatment methods of delayed jaundice in babies;
Method 1: Prenatal medication for expectant mothers. Such as giving expectant mothers large doses of oxytocin or vitamin K before delivery.
Method 2: Asphyxia and hypoxia during childbirth. Due to dyspnea and hypoxia, on the one hand, acidosis is aggravated, and on the other hand, the activity of glucuronyl transferase is inhibited, which affects the metabolic process of bilirubin;
Method 3: Injury bleeding during childbirth increases bilirubin production;
Method 4: Postpartum freezing and starvation. At this time, organic anions such as free fatty acids in the body increase, compete with bilirubin to bind albumin, make bilirubin free in the blood, delay food intake, and delay meconium excretion, which can increase enterohepatic circulation and increase unconjugated bilirubin in blood. white. In order to prevent neonatal hyperbilirubinemia, pregnant mothers should be careful with prenatal medication, try not to use drugs that cannot be used, monitor closely during delivery to avoid fetal suffocation and birth injury, pay attention to maintaining neonatal body temperature after birth, and feed appropriately early . If neonatal hyperbilirubinemia has occurred, in addition to the etiological treatment, phototherapy, plasma or albumin can be applied.
How to care for a baby with jaundice?
To reduce physiological jaundice, parents should pay attention to:
Note 1: Let the baby's meconium be discharged as soon as possible. In the early stage, breastfeed the newborn as soon as possible to let the meconium be discharged as soon as possible, because the meconium contains a large amount of biliflavin, because if the discharge is not clean, the meconium will be reabsorbed into the blood through the special enterohepatic circulation of the newborn. Increased jaundice. How to check if meconium is clean? It is mainly to see that the meconium has changed from black meconium to yellow meconium, indicating that the discharge is clean.
Note 2: Give the newborn enough water, and judge whether the newborn's fluid intake is adequate by observing the newborn's urine output. Generally speaking, a normal newborn urinates 6-8 times a day. Second, if the frequency is not enough, it may be that his fluid intake is not enough. Too little urination is not conducive to the excretion of biliflavin. We should ensure the fluid intake of the newborn. Generally, the meconium of the newborn should be discharged in 2-3 days to reduce the degree of jaundice in the baby.
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How to judge whether the baby has jaundice?
Under natural light, observe the degree of yellowing of the newborn's skin. If only the face is yellow, it is slightly yellow; the trunk is pressed with fingers and then lifted up to observe the yellowing of the skin, and the yellowing of the skin of the trunk is moderately yellow; observe the limbs, hands and feet in the same way. and heart. If jaundice occurs at the same time, it is severe jaundice, and you should go to the hospital for examination and treatment in time.
How does jaundice affect the baby's health?
In most cases, baby jaundice is nothing to worry about. However, if your baby's bilirubin levels are too high (because no treatment was taken to control the jaundice and the bilirubin levels continue to rise), permanent damage to your baby's nervous system may occur. Rarely, newborns with jaundice develop a condition called kernicterus (also called bilirubin encephalopathy), which can lead to deafness, developmental delay, or some form of cerebral palsy.