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Newborn Jaundice

Newborn jaundice affects about 60% of all newborns. The yellowish skin and eye discolouration is caused by elevated bilirubin. In most cases harmless and resolves on its own.

Possíveis Causas

  • 1Physiological jaundice: immature liver can't break down bilirubin fast enough
  • 2Breast milk jaundice: substances in breast milk slow bilirubin breakdown (harmless)
  • 3Blood type incompatibility between mother and baby
  • 4Premature birth: even more immature liver
  • 5Rarely: biliary atresia (bile ducts not properly formed)

O Que Você Pode Fazer

  • Frequent breastfeeding (8-12x in 24 hours) — promotes bilirubin excretion through stool
  • Phototherapy (blue light) for elevated levels — in hospital
  • Sunlight: indirect daylight by window can help slightly (no direct sunbathing!)
  • DO NOT stop breastfeeding — breastfeeding is the best treatment

Quando Ir ao Médico?

  • Yellowing in the first 24 hours of life → report immediately
  • Yellowing spreads to legs and feet
  • Baby is sleepy, feeds poorly, has high-pitched cry
  • Jaundice not improving after day 14
  • Stool is WHITE or very pale (biliary atresia → EMERGENCY)

Notas por Faixa Etária

Physiological jaundice: Appears day 2-3, peaks day 3-5, resolves by day 10-14. Breast milk jaundice: Can last up to 12 weeks — harmless, DO NOT stop breastfeeding. Day 1 jaundice: ALWAYS pathological and needs investigation.

Perguntas Frequentes

Should I stop breastfeeding with jaundice?
NO! On the contrary: Frequent breastfeeding is the BEST treatment. Breast milk stimulates bowel movements, and bilirubin is excreted through stool. Breastfeed 8-12 times in 24 hours.
How do I recognise jaundice?
Gently press on your baby's forehead — if the skin looks yellowish instead of pink, it could be jaundice. The whites of the eyes may also appear yellowish. For darker skin tones: Check eyes, palate, and palms.

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Este artigo é apenas informativo. Não substitui aconselhamento médico individual. Se tiver preocupações, entre em contato com seu pediatra, parteira ou ligue para a emergência.