Newborn Jaundice
What it is, what to watch for, and how it is treated
What Jaundice Is
Jaundice is a yellowing of the baby's skin and the whites of the eyes. It happens because the baby's liver is not yet mature enough to process bilirubin, a normal byproduct of red blood cell breakdown. Mild jaundice is common in newborns and usually resolves on its own within 1 to 2 weeks. More significant jaundice requires treatment to prevent complications.
What to Look For
Jaundice usually appears first on the face, then moves down the chest, belly, and legs. It is easier to see in natural light. Gently press on the baby's skin. If the area looks yellow when you lift your finger, mention it to the care provider. Other signs to watch for include the baby being very sleepy and difficult to wake for feeds, poor feeding, dark urine, or pale stools.
Treatment
If jaundice is significant, the baby will be treated with phototherapy. The baby is placed under a special blue light or on a light-emitting blanket with their eyes covered. Phototherapy helps break down bilirubin so the baby's body can eliminate it. Treatment may be done in the hospital or at home with a rental light blanket, depending on the severity. Phototherapy is safe and effective. Severe jaundice that goes untreated can lead to brain damage, which is why treatment is started promptly.
What You Can Do
Feed the baby frequently. Feeding helps the baby pass stool, which removes bilirubin from the body. If the care team recommends phototherapy, follow their instructions carefully. Keep the baby's follow-up appointments for bilirubin checks. If the baby's jaundice seems to be getting worse instead of better, call the pediatrician.