Understanding Jaundice

The Cause and Effect of a Common Condition

By Zane Ewton, published Mar 12, 2007
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Jaundice is an often little understood condition that is found in most newborn children. For new parents this can be a scary proposition but can, fortunately, be taken care of quickly and safely. For adults with jaundice, it can simply be scary.

What is Jaundice?

Jaundice is a condition that creates a yellow pigment in a person's skin, mucous membranes and the white in eyes. Most newborns have at least minor jaundice. The yellow pigment is created by bilirubin. This is a byproduct of dead red blood cells.

The normal human body processes about 1% of its red blood cells every day. These cells are processed in the liver and leave the body through normal waste paths.

When the human liver is unable to process the dead cells fast enough bilirubin begins to accumulate and cause the yellow tint.

Newborn Jaundice

Newborns are recovering from birth. The amount of dead blood cells is simply too much for their undeveloped livers to handle. Bilirubin begins to accumulate quickly.

Depending on how strenuous childbirth was, newborns may face several days with the effects of jaundice. Premature babies are at the highest risk for jaundice.

Not until the baby is eating and stooling frequently will the dead cells be able to exit normally.

Newborn Treatment

The common risk for newborns is that jaundice could lead to liver damage. However, excessive bilirubin can damage developing brain cells, which can permanently damage many of the body's normal functions.

A bilirubin test is taken through a blood sample to determine the severity of jaundice. Doctors will refer to a bilirubin number. This number determines the severity of bilirubin levels. A level of one-three is normal and the common treatment is ensuring the baby is fully hydrated and spends a few hours a day resting in the sunlight.

A bilirubin level between four and nine will require ultraviolet light treatment. This helps the baby to process the excessive dead cells at an accelerated pace until the bilirubin reaches a normal level. The light treatment will happen in an incubator with a light above. The baby will lay down with just a diaper and protective eye covering.

Understanding Jaundice
Understanding Jaundice

This demonstrates the light therapy given to a newborn. The baby is now 1-year-old and completely healthy.

Credit: Zane Ewton

Copyright: Zane Ewton

Takeaways
  • Jaundice
  • Bilirubin
  • Treatments
Did You Know?
Jaundice can be fearful for young parents. Fear not, the condition is common and your doctor will be prepared to treat it quickly, effectively, and most important, safely.
Resources
  • WebMD
Comments
Showing Comments 1 - 2 of 2
 
 
Great article. I've read that newborn jaundice can be prevented, or at least lessened, if the umbilical cord remains attached until it stops pulsing. If the cord is cut while it is still pulsing, it can't help the baby make the transition from relying on his mother to relying on his own system, so his system goes into a bit of a shock. I thought that was an interesting tidbit.

Posted on 03/14/2007 at 5:03:00 PM

 
Wow...interesting article. I was especially impressing with the part about babies being treated with ultraviolet light. I love cool stuff like that. Great work!

Posted on 03/14/2007 at 10:03:00 AM

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