When we were discharged from the hospital after Charlie was born, his bilirubin levels were 16.6, which was on the high side.  We were told to see our pediatrician within 2 days for a retest, at which time we found out his levels had gone up to 17.9.  We had to admit Charlie to the hospital that day for photo therapy.

Jaundice is caused by an excess of bilirubin in a baby’s blood, and peaks between 3-7 days post birth.  Charlie definitely started looking very yellow (even though he is Asian) once we brought him home.   I knew that jaundice  was very common, but I had no idea that it occurs in over 70% of newborns, and East Asian babies are particularly susceptible.  Extremely high levels of jaundice (25+) can cause deafness, cerebral palsy and brain damage!  But doctors are so proactive about testing for jaundice now, babies usually receive treatment before their bilirubin numbers get nowhere near that high.  Most of the time  jaundice goes away on its own with frequent nursing and a little sun exposure, but if the levels get high enough, photo therapy + formula supplementation is often recommended as frequent pooping/peeing helps flush excess bilirubin out.

It was heartbreaking to watch the doctor try and fail twice to put an iv into Charlie’s little hands while they bled.

He had to lie naked except for a diaper and an eye mask under photo therapy lights for 24 hours.  I couldn’t sleep a wink because the mask kept wiggling around so we had to keep adjusting it.

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Overall it didn’t faze Charlie too much.   He pretty much just slept the entire time.

When we were discharged, Charlie’s bilirubin levels came down to 12, after a high of 18.  The follow-up treatment was to expose him naked to 15 minutes of sunlight a day to keep the jaundice at bay.  Certain levels of bilirubin are dangerous at certain days of a newborn’s life, but now that Charlie had undergone photo therapy and was a bit older, there was nothing to worry about anymore.  Still it was a lot to go through as a first time mom, so I hope we’re not going to have to go through this again with baby bee #2!

Did your baby get treatment for jaundice?

Jaundice part 1 of 4

1. Jaundice by Mrs. Bee
2. Breastfeeding: Rocky Beginnings, Part 2 by Mrs. Yoyo
3. Unsolicited Breastfeeding Advice for New Moms by breastfeeding
4. My Breastfeeding Journey by Mrs. Chocolate