How to tell if your baby has jaundice

First of all, it is important to pay attention to whether your baby has jaundice. The baby can be placed in a bright place and the whites of the baby's skin and eyes can be observed, and jaundice may be present if it is yellower than the previous day or yellower than other babies. If only the face is yellow, it means that the degree of jaundice is not very serious; If the yellowing extends down to or below the abdomen, jaundice may have reached the point where it needs light therapy.

Pediatric jaundice neonatal jaundice index standard

1. Physiological jaundice

Usually, the skin of newborns can be seen to be a little yellow with the naked eye after 2 days of birth, reaching a peak in 3-5 days, and disappearing in 7-10 days, at this time, the jaundice index (serum bilirubin value) is generally not more than 15mg/dL is within the normal range.

2. Pathological jaundice

There are many causes of pathological jaundice, followed by full-term childrenprematureThe standards are different, and mothers will be sent to the hospital for observation as long as they find the following conditions:

(1) Jaundice is found within 24 hours of birth in newborns, which is "early-onset jaundice".

(2) The jaundice index rises too high all of a sudden, increasing by more than 5mg/dL a day, which is more common hemolytic jaundice (the blood type of the mother and the baby is incompatible).

(3) The jaundice index rises too high, with 15mg/dL.

(4) The duration is too long, the general physiological jaundice lasts for 7-10 days, if it is more than 2 weeks, it should be noted.

Treatment of jaundice in children and jaundice

1. Phototherapy

It is a simple and effective way to reduce serum unconjugated bilirubin. At present, blue light irradiation is the most commonly used in China. The newborn is placed in a phototherapy box, both eyes are protected with black eye patches to avoid damage to the retina, the perineum and anus are covered with diapers, and the rest are exposed.Irradiation with single-sided or double-sided light for 2~48 hours (generally no more than 4 days), continuous or intermittent irradiation can be used until bilirubin drops below 7 mg/dL.

2. Exchange transfusion

Exchange transfusion can effectively lower bilirubin, replace sensitized red blood cells and reduce anemia. However, exchange transfusion requires certain conditions and can also produce some adverse reactions, so the indications should be strictly grasped, and it is generally used when phototherapy fails.

3. Medication

Drugs are used to reduce bilirubin production, accelerate bilirubin clearance, or inhibit enterohepatic circulation of bilirubin, including the supply of albumin, correction of metabolic acidosis, liver enzyme inducers (eg, phenobarbital), and intravenous immunoglobulin.

4. Supportive care

It is mainly to actively prevent and treat hypoxia, hypercapnia, cold injury, hunger, infection and hyperosmolar drug infusion, etc., to prevent the temporary opening of the blood-brain barrier and prevent the occurrence of bilirubin encephalopathy.