Obstetrics/Maternity:

 Jaundice

Jaundice is a yellow coloration of the skin caused by the deposit of excess bilirubin in the blood. Bilirubin is a pigment released when red blood cells break down. New babies are born with more red blood cells than they need, but their livers are not mature enough to eliminate all the bilirubin released. That is why many babies develop a normal, common form of jaundice called physiologic jaundice.

Jaundice is usually seen when the baby is two to three days old and will typically disappear within a couple of weeks. Bilirubin is normally excreted through the baby’s stools. Offering more fluids and calories through more frequent feedings can prevent mild jaundice from progressing.

There are other causes of jaundice such a Rh and blood-type incompatibilities or infection. Sometimes, babies require phototherapy or exposure to special lights to help promote bilirubin excretion and control the jaundice. If a newborn requires phototherapy, the pediatrician will discuss an individualized treatment plan with the parents.