Jaundice in Newborns

Jaundice in Newborns

Jaundice in Newborns
It’s one of the first things new parents might notice after birth — a yellowish tint to their baby’s skin or eyes. This condition, known as jaundice, is extremely common in newborns. In fact, it affects up to 60% of full-term babies and as many as 80% of preterm infants in the first week of life.
While it’s usually harmless and temporary, understanding why jaundice happens — and when it might signal a more serious issue — is important for every parent.

What Is Jaundice and Why Does It Happen?

Jaundice in newborns occurs when there’s too much bilirubin in the baby’s blood — a condition called hyperbilirubinemia. Bilirubin is a yellow pigment produced during the normal breakdown of red blood cells.
Before birth, the mother's liver does all the work of removing bilirubin for the baby. But after birth, that job shifts to the baby’s own liver — which may not be fully developed yet. If the liver can’t filter out bilirubin quickly enough, the substance starts to build up in the baby’s body, giving their skin and eyes a yellow hue.
This yellowing typically starts on the face and can spread to the chest, abdomen, arms, and legs as bilirubin levels rise. It’s easiest to spot in natural light, and in babies with darker skin, it may be more noticeable in the whites of the eyes or under the tongue.

Types of Newborn Jaundice

Not all jaundice is the same. There are several types, each with different causes and timeframes:
1.

Physiological Jaundice

This is the most common type and occurs in nearly all newborns to some extent. It usually appears within 2 to 3 days after birth and disappears on its own within one to two weeks. It’s a natural part of the baby’s adjustment to life outside the womb as their liver matures.
2.

Breastfeeding Jaundice

This can develop in the first week of life when a baby isn’t getting enough breast milk. It may be due to difficulties with latching, a delay in milk coming in, or infrequent feedings. Less feeding means fewer bowel movements — and that leads to slower elimination of bilirubin from the body.
3.

Breast Milk Jaundice

This is different from breastfeeding jaundice. It typically appears after the first week and can last for a month or longer. In this case, certain substances in the mother's milk may interfere with how the baby’s liver processes bilirubin. Although it sounds concerning, breast milk jaundice is usually harmless and doesn’t require stopping breastfeeding.
4.

Jaundice from Medical Conditions

In some rare cases, jaundice can be caused by underlying health problems, such as:
•Blood type incompatibility between mother and baby
•Bruising during birth (which increases red blood cell breakdown)
•Infections like sepsis
•Liver conditions, including biliary atresia
•Low oxygen levels at birth
•An excess of red blood cells
These forms of jaundice are less common but more serious and require immediate medical attention.

Symptoms to Watch For

The most obvious sign is yellowing of the skin and eyes. But parents should also monitor for other warning signs that may indicate severe jaundice or related complications:
•Bright yellow or orange-tinted skin
•Excessive sleepiness or trouble waking for feeds
•Baby is very fussy or difficult to calm
•Poor feeding, whether at the breast or with a bottle
•Not enough wet or dirty diapers
If jaundice seems to be getting worse after the first few days — or lasts longer than two weeks — it’s time to call your pediatrician.

How Is Jaundice Treated?

In most cases, no treatment is needed. As your baby’s liver matures and they begin feeding regularly, bilirubin levels naturally decrease. Frequent feedings — around 10 to 12 times a day — help stimulate more bowel movements, which remove bilirubin through the stool.
However, if bilirubin levels are too high or rising quickly, your baby’s doctor may recommend phototherapy — a safe and effective treatment that uses special blue lights to help break down bilirubin in the skin.
In rare, severe cases, where phototherapy isn’t enough, a treatment called an exchange transfusion may be necessary. This involves replacing a portion of the baby’s blood with donor blood to quickly reduce bilirubin levels. Fortunately, this is rarely needed with early monitoring and intervention.
While jaundice in newborns can be unsettling for new parents, it’s important to know that it’s usually a normal part of development. Most cases resolve without complications, especially when babies are well-fed and monitored closely.
Still, severe jaundice can pose serious risks, including brain damage if left untreated — so staying informed and knowing when to call your healthcare provider is essential.
If you’re ever unsure, don’t hesitate to reach out to your pediatrician. When caught early, jaundice is almost always treatable and temporary.
What Is Appendicitis?
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Appendicitis is a condition in which the appendix becomes inflamed and swollen. The appendix is a small, finger-shaped pouch attached to the lower right part of the large intestine. Although it is not essential for survival, its inflammation can quickly become dangerous if not treated in time. Appendicitis usually occurs when the appendix becomes blocked by hardened stool, swollen lymphatic tissue or infection. Bacteria multiply inside the blocked appendix, causing swelling, reduced blood flow and tissue damage. If untreated, the appendix may rupture and spread infection into the abdominal cavity. For this reason, appendicitis is considered a medical emergency. It most commonly affects people between 10 and 30 years of age, but it can occur at any age. Signs and Symptoms Early recognition is very important. Typical symptoms include: • Pain that begins near the belly button • Pain that moves to the lower right abdomen • Increasing abdominal pain • Nausea and vomiting • Loss of appetite Other possible symptoms may include: • Fever • Abdominal tenderness • Pain that worsens with movement or coughing • Bloating • Constipation or, in some cases, diarrhea Children, elderly individuals and pregnant women may not have typical symptoms. If the appendix ruptures, severe abdominal pain, high fever and signs of widespread infection may develop. This requires immediate emergency care. Diagnosis A healthcare provider evaluates symptoms, performs a physical examination and may order tests such as: • Blood tests • Abdominal ultrasound • CT scan These help confirm appendicitis and rule out other conditions. Treatment Appendicitis requires urgent treatment. Antibiotics are given to treat and prevent infection. In very early and mild cases, antibiotics alone may temporarily improve symptoms, but recurrence is common. Surgery (appendectomy) is the standard and most reliable treatment. The appendix is usually removed within 24 hours of diagnosis to prevent rupture. Most surgeries are performed laparoscopically, allowing faster recovery. In complicated cases, open surgery may be necessary. The appendix is not a vital organ, and people live normal lives after its removal. Complications and Recovery If untreated, appendicitis may lead to rupture, abscess, peritonitis or sepsis. Early treatment greatly reduces these risks. Most patients recover completely, especially with early care. After uncomplicated surgery, many return home within 24 hours and fully recover within several weeks. Seek immediate medical attention if you experience persistent or worsening pain in the lower right abdomen, especially with fever, nausea or vomiting.
10 Tips to Prevent Breast Cancer
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Breast cancer is influenced by many factors. Some—such as genetics, age, and family history—cannot be changed. However, research shows that healthy lifestyle choices combined with regular screenings can significantly lower risk and improve early detection. Although prevention cannot be guaranteed, proactive steps can reduce your chances of developing breast cancer and increase the likelihood of detecting it early, when treatment is most effective. 1. Maintain a healthy weight Excess weight, especially after menopause, increases risk because fat tissue produces estrogen. Maintain a stable, healthy weight through balanced nutrition and regular activity. 2. Stay physically active Exercise helps regulate hormones and control weight. Aim for 150 minutes of moderate activity or 75 minutes of vigorous exercise weekly, plus strength training twice a week. 3. Limit alcohol Alcohol increases breast cancer risk. If you drink, limit it to one drink per day—or avoid it entirely. 4. Choose a balanced diet There is no single “anti-cancer diet,” but eating fruits, vegetables, whole grains, legumes, and healthy fats supports overall health. Reduce processed meat, red meat, sugary drinks, and heavily processed foods. 5. Avoid smoking Smoking is linked to many cancers, including breast cancer. Quitting greatly benefits overall health. 6. Breastfeed if possible Breastfeeding may slightly reduce risk, especially when continued longer. 7. Use hormones carefully Hormone replacement therapy and some hormonal contraceptives may slightly increase risk. Always discuss options with your doctor and use the lowest effective dose for the shortest time. 8. Know your family history Understand cancer history on both sides of your family. 9. Take extra steps if high-risk High-risk individuals may need earlier screening, preventive medications, genetic counseling, or other preventive strategies. 10. Prioritize regular screening Healthy habits reduce risk—but screening saves lives. Early detection greatly improves outcomes. Screening may include: • Clinical breast exams • Mammography based on age and risk • Breast ultrasound, especially for dense breast tissue • MRI for high-risk individuals Ultrasound is safe, painless, and radiation-free, and can detect changes not always visible on mammograms. If you notice a lump, skin changes, nipple discharge, or breast shape changes, seek medical care promptly. Regular check-ups are not routine—they are protection.
Importance of Vitamin D for Infants
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The first year of life is a time of very rapid growth, and good nutrition is essential for healthy development. Vitamin D is one of the most important nutrients for infants, as it supports strong bones, teeth, and the immune system. Because babies cannot safely get enough vitamin D from sunlight or diet alone, supplementation is often necessary from birth. Vitamin D is sometimes called the “sunshine vitamin” because the body can produce it when skin is exposed to sunlight. Why do babies need vitamin D? Infants grow very quickly during their first 12 months, which increases their need for vitamin D. Without enough vitamin D, calcium cannot be absorbed properly, leading to weak or soft bones. Severe deficiency can cause rickets, a condition that may result in delayed growth, bone pain, and skeletal deformities. Vitamin D also plays an important role in supporting the immune system, helping babies fight infections and stay healthy. Why sunlight and diet are not enough Although sunlight is a natural source of vitamin D, babies have very sensitive skin and should not be exposed to direct sunlight, especially in early life. Breast milk, while the best source of nutrition for infants, usually does not contain enough vitamin D to meet daily needs. Solid foods introduced later are also low in vitamin D. For these reasons, health authorities recommend vitamin D supplementation for many infants. Which babies need vitamin D supplements? • All breastfed babies should receive a daily vitamin D supplement from birth. • Babies who receive both breast milk and small amounts of formula also need supplementation. • Formula-fed babies usually do not need extra vitamin D if they consume enough fortified infant formula. Babies at higher risk of deficiency Babies born to mothers with low vitamin D levels and infants with darker skin tones are more likely to have vitamin D deficiency, as darker skin produces less vitamin D from sunlight. In these cases, regular supplementation is especially important. How to give vitamin D Vitamin D supplements for babies are widely available as liquid drops. They can be given directly into the baby’s mouth using a dropper or oral syringe. Always choose a supplement suitable for infants, follow the instructions carefully, and do not exceed the recommended dose. In summary, vitamin D is essential for healthy growth, strong bones, and immune support in infants. Since babies cannot safely rely on sunlight or diet alone, providing a daily vitamin D supplement during the first year is a simple and effective way to support their long-term health.
Why is gastric ultrasound important before surgery?
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