Staying on top of Jaundice

Jaundice—a common condition in newborns—occurs when bilirubin, a yellow pigment, builds up in the blood. While mild jaundice often resolves on its own, delayed or missed diagnosis can lead to severe complications, including kernicterus, a rare but devastating form of brain damage.

Why Early Detection Matters

  • Timing is Key: Bilirubin levels typically peak between days 3–5 after birth. If a baby is discharged too early (within 24–48 hours), parents may miss warning signs.

  • Subtle Symptoms: Yellowing of the skin/eyes, poor feeding, and excessive sleepiness can be overlooked, especially in darker-skinned infants.

  • Rapid Progression: Without intervention, high bilirubin can cross the blood-brain barrier, causing permanent harm.

How to Stay Vigilant

  1. Demand Bilirubin Testing

    • Before discharge, request a transcutaneous (TcB) or blood test (TSB) to measure bilirubin levels.

  2. Follow Up Promptly

    • If jaundice appears after discharge, seek medical evaluation within 24 hours.

  3. Monitor Feeding

    • Frequent breastfeeding/formula helps flush out bilirubin. Poor intake? Consult a pediatrician.

  4. Know the Risk Factors

    • Prematurity, bruising at birth, and blood type incompatibility (e.g., Rh/ABO) increase risks.

A Lifesaving Difference

Most jaundice cases are harmless, but early action prevents tragedy. Phototherapy (light treatment) is highly effective if started in time.

Parents: Trust your instincts. If something seems off, seek help immediately. Doctors: Screen diligently. One missed case is one too many.

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Jaundice - Warning Signs for Parents

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is Kernicterus on the rise in America?