Jaundice levels chart is to know the normal Jaundice Levels in newborn infants, the risk jaundice levels that need treatment for the newborn baby, and the new guidelines for effective treatment and fast getting rid of jaundice.
Jaundice, has another medical term “icterus” and means a yellowish tinge to the skin and the white part of the eye (sclera) that is caused an excess of bilirubin in the blood, which is called in medicine the hyperbilirubinemia.
Serum indirect bilirubin level is the most common elevated bilirubin in newborns, high direct bilirubin in newborn infants seen in rare conditions of biliary atresia which requires surgical intervention to prevent any liver damage to the child, and in neonatal hepatitis.
Risky Jaundice levels:
Normal total bilirubin level is any value from 0.3 to 1.0 mg/dL. In a newborn, due to less mature liver function and absent of microorganisms (both are processing bilirubin), normal bilirubin level in a newborn under 5 mg/dL, then go higher in many newborns, the infant bilirubin levels usually fall substantially by day 7, the bilirubin risk level in newborns are more than 15 mg/dL before 48 hours old, more than 18 mg/dL before 72 hours old, more than 20 mg/dL anytime for both healthy born or preterm delivery).
Why Newborns children have jaundice and high bilirubin?
High indirect bilirubin in newborns is a result of accelerated RBCs breakdown due to:
Hyperbilirubinemia risk levels in infants:
Who is at risk of high bilirubin level?
Hyperbilirubinemia Risk Factors are:
– TSB/TcB in high-risk zone
– Jaundice in first 24 hours
– ABO incompatibility with positive direct Coomb’s test, known hemolytic disease, or elevated ETCO.
– Gestational age 35-36 weeks
– Prior sibling had phototherapy
– Cephalohematoma or bruising
– Exclusive breastfeeding, esp. with poor feeding or weight loss
– East Asian Race
Neurotoxicity Risk Factors
Neurotoxicity level is the bilirubin level at which brain damage is expected.
– Isoimmune Hemolytic Disease
– G6PD deficiency, G6PD test is needed with CBC test.
– Significant lethargy
– Temperature instability
– Sepsis, recommended for blood culture and PCR test for specific microbes.
– Acidosis, observed through ABG test and serum electrolytes test.
– Albumin less than 3.0 g/dL
How to get rid of jaundice in newborn baby?
According to AAP Phototherapy Guidelines (2004)
Which bilirubin level needs incubator phototherapy or at home?
Please read previous explanation abut normal newborn bilirubin level.
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