16.6 Is neonatal jaundice serious?

16.6 Is neonatal jaundice serious?

Neonatal jaundice of 16.6 mg/dl is pathological jaundice, and whether it is serious depends on the specific situation of the newborn.

For full-term newborns, the jaundice index was found to be 16.6 mg/dl 48 hours after birth. The daily jaundice value increased by no more than 5 mg/dl. There was no frequent vomiting, slow reaction, etc. It was generally not serious. Timely cooperation with the doctor for blue light treatment can promote the disappearance of jaundice.

If the jaundice value of a premature baby reaches 16.6 mg/d within 48 hours of birth and the daily jaundice value exceeds 5 mg/d, accompanied by symptoms such as drowsiness and convulsions, the situation is serious and the baby is prone to bilirubin encephalopathy, which causes brain cell damage and leaves neurological sequelae. Blue light therapy should be carried out in time, human albumin should be transfused or blood exchange therapy should be used for systemic treatment. During the treatment, the changes in the neonatal nervous system should be dynamically observed to avoid its sequelae as much as possible. If the neonatal jaundice reaches 16.6 mg/d due to infection, hemolysis, hypoxia and asphyxia, the situation is also serious and can easily cause sepsis, septic shock, hypolytic shock, etc., and symptomatic treatment should be given in time according to the cause.

During the treatment process, parents should pay attention to letting the newborn get more sun and pay attention to proper feeding, which will have a positive effect on the disappearance of jaundice.