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Types of Jaundice
Physiological jaundice (50% of newborns)
Breastfeeding jaundice (5 to 10% of newborns)
Breastmilk jaundice (1% of newborns)
Rh and ABO blood group incompatibility
|When to Call Your Doctor|
|Call 911 Now (your child may need an ambulance) If|
|Call Your Doctor Now (night or day) If|
|Call Your Doctor Within 24 Hours (between 9 am and 4 pm) If|
|Call Your Doctor During Weekday Office Hours If|
|Parent Care at Home If|
|HOME CARE ADVICE FOR MILD JAUNDICE|
- Bottlefed: If bottle fed, increase the frequency of feedings. Try for an interval of every 2 to 3 hours during the day.
- Breastfed: If breastfed, increase the frequency of feedings. Nurse your baby every 1Â½ to 2Â½ hours during the day. Don't let your baby sleep more than 4 hours at night without a feeding.
- Increase Stools:
- If your baby is 5 days or older AND has less than 3 stools/day, carefully insert a lubricated thermometer Â½ inch (12 mm) into the anus and gently move it from side to side a few times to stimulate a stool.
- Reason: increased stools carry more bilirubin out of the body
- Do this once or twice per day until jaundice improves or stool frequency becomes normal.
- Expected Course: Physiological jaundice peaks on day 4 or 5 and then gradually disappears over 1-2 weeks.
- Judging Jaundice:
- View your baby unclothed in natural light near a window.
- Press on the yellow skin on the chest with a finger to remove the normal skin tone.
- Then assess the jaundice color before the pink color returns.
- Call Your Doctor If:
- Jaundice not gone by day 14
- Your baby is not getting enough milk (needs a weight check)
- Your baby starts to act sick
- Your child becomes worse
And remember, contact your doctor if your child develops any of the "Call Your Doctor" symptoms.
Disclaimer: This information is not intended be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.
Author and Senior Reviewer: Barton D. Schmitt, M.D.
Last Reviewed: 1/19/2009
Last Revised: 6/24/2008
Content Set: Pediatric HouseCalls Online
Copyright 1994-2009 Barton D. Schmitt, M.D.