The jaundice index of the newborn on the 4th day is 24?

It is normal for newborns to have jaundice. Most babies will have jaundice to a greater or lesser extent after birth, and jaundice generally reaches a peak within 3-5 days. If the baby has jaundice for 24 hours on the fourth day, it is best to treat the baby as soon as possible. Generally, the baby should be given blue light irradiation treatment in time. If not treated in time, it can easily cause bilirubin encephalopathy, so it must be taken seriously.

How to care for neonatal jaundice

1. Pay attention to the color of your baby’s stool

Pay attention to the color of your baby's stool. If there is a problem with the liver or bile duct, the stool will turn white, but it will not turn white suddenly, but will become lighter and lighter. If the stool suddenly turns yellow, you must take it to a doctor. This is because under normal circumstances, the bilirubin processed by the liver will be excreted through the bile duct to the intestines, causing the feces to become colored.

2. Always monitor your baby’s jaundice

Jaundice starts from the head and fades from the feet, but the eyes are the first to turn yellow and the last to fade, so you can start by observing the eyes. If you don't know what to do, experts suggest that you can press any part of the body. As long as the skin you press appears white, it's fine. If it appears yellow, you should be careful. If you feel that your baby is looking increasingly yellow, has poor spirits and appetite, or has an unstable body temperature, is drowsy, or is prone to shrill crying, you should go to the hospital for a check-up.

3. Let your baby get more exposure to natural light

The reason why you should continue to use natural light after you return home is that natural light contains all wavelengths, and exposure to light will be more or less helpful. Moreover, a house that is too dark will affect the baby's absorption of vitamin D, but do not let the baby be exposed to the sun directly, for fear of sunburn and damage caused by ultraviolet rays.

4. It is best to breastfeed frequently

If it is proven that jaundice is caused by insufficient feeding, the mother must feed the baby frequently, because milk secretion is a normal physiological reaction. Frequent sucking will stimulate the secretion of lactogen and more milk will be secreted. Never supplement with water or sugar water, thinking that the baby is not eating enough or that jaundice persists. Mothers who are unsure whether their babies are getting enough can observe the frequency of urination. If they urinate more than 6 times a day and their baby continues to gain weight, it means they are eating enough. But you still need to observe the baby's subsequent condition changes. If the jaundice subsides and then increases again, there is definitely a problem and you must go to the hospital for a check-up in time.

How long does it take for neonatal jaundice to subside?

(1) Jaundice appears 2-3 days after birth and gradually worsens, reaching its peak on the 4-6th day. Jaundice gradually subsides starting from the 2nd week.

(2) Jaundice has a certain limit and its color will not be golden yellow. Jaundice is mainly distributed on the face and trunk, while the calves, forearms, hands and soles of the feet often have no obvious jaundice. If blood is drawn to measure bilirubin, it should not exceed 12 mg/dL for full-term infants during the peak period of jaundice, and 15 mg/dL for premature infants.

(3) Physiological jaundice in full-term infants basically disappears by the end of the second week, while jaundice in premature infants generally disappears within the third week.

(4) The child's body temperature is normal, his appetite is good, his weight is gradually increasing, and his stool and urine color are normal.

Neonatal jaundice should be considered pathological jaundice if it has any of the following characteristics:

1. Jaundice occurs too early: Full-term infants develop jaundice within 24 hours after birth, and premature infants develop jaundice within 48 hours after birth

2. Severe jaundice: serum bilirubin exceeds the average value of normal children of the same age, or rises by more than 85.5μmol/L (5mg/dl) per day 3. Jaundice progresses rapidly, that is, it deepens a lot within a day;

4. Jaundice lasts for a long time (more than 2 weeks in full-term infants and more than 3 weeks in premature infants) or reappears after jaundice subsides;

5. Jaundice accompanied by other clinical symptoms, or serum conjugated bilirubin greater than 25.7 μmol/L (1.5 mg/dl).