However, any new child with a total serum bilirubin larger than 359 μmol/l ( 21 mg/dL) ought to obtain phototherapy. Prolonged hyperbilirubinemia (extreme jaundice) can result in persistent bilirubin encephalopathy (kernicterus).
Breast milk jaundice happens later in the newborn interval, with the bilirubin stage normally peaking within the sixth to 14th days of life. This late-onset jaundice may develop in up to one third of healthy breastfed infants. The incidence of neonatal jaundice is increased in infants of East Asian, American Indian, and Greek descent, though the latter seems to apply solely to infants born in Greece and thus could also be environmental somewhat than ethnic in origin.
In the absence of scientific indicators of dehydration, no evidence suggests that overhydration is useful. If the toddler is dehydrated, hydration must be given as clinically indicated.
Breast milk jaundice – this is because of how substances within the breast milk intrude with the breakdown process of bilirubin. Bilirubin is a waste product, produced when purple blood cells are broken down.
Conjugated bilirubin is bilirubin made water soluble by binding with glucuronic acid in the liver. Depending on the method used, the clinical laboratory will report total and direct-reacting or unconjugated and conjugated bilirubin levels.