Question 1

Is newborn jaundice dangerous?

Accepted Answer

Most newborn jaundice is harmless and resolves on its own. However, very high bilirubin levels can be dangerous. Untreated severe jaundice can lead to a condition called kernicterus, where bilirubin deposits in the brain and causes permanent neurological damage. This is rare and preventable with appropriate monitoring and treatment. The key is recognising warning signs early and seeking help when needed.

Question 2

Should I stop breastfeeding if my baby has jaundice?

Accepted Answer

No. In the vast majority of cases, you should continue breastfeeding. Frequent feeding helps clear bilirubin through stool. If your baby has “breastfeeding jaundice” (due to insufficient intake), the solution is to improve feeding, not to stop it. Your paediatrician may recommend temporary supplementation in some cases, but stopping breastfeeding is rarely necessary.

Question 3

How long does jaundice last?

Accepted Answer

Physiological jaundice typically peaks around day 3-5 and resolves by day 10-14. Breast milk jaundice can persist at low, harmless levels for 2-3 months. Jaundice that has not resolved by 14 days in a full-term baby needs investigation.

Question 4

Can I put my baby in the sun to treat jaundice?

Accepted Answer

Sunlight is not a recommended treatment for jaundice. While it contains the right wavelengths to break down bilirubin, you cannot control the dose, and there are risks of sunburn, overheating, and temperature instability. If your baby’s jaundice needs treatment, phototherapy in a medical setting is safe and effective.

Question 5

What is G6PD deficiency and why does it matter for jaundice?

Accepted Answer

G6PD deficiency is an inherited enzyme deficiency that makes red blood cells break down more easily. It is common in Malaysia, especially among Malay and Chinese populations. Babies with G6PD deficiency are at higher risk of severe jaundice. All Malaysian newborns are screened for this condition. If your baby tests positive, your paediatrician will provide guidance on monitoring and avoidance of triggers.

Question 6

My baby was discharged from hospital and now looks more yellow. Should I go back?

Accepted Answer

If your baby’s jaundice is deepening after discharge, particularly after day 5, you should contact your paediatrician or return to the hospital for a bilirubin check. It may be normal, but it is always worth confirming with a measurement rather than guessing.

Question 7

What are pale stools and why are they important?

Accepted Answer

Normal newborn stools are yellow, green, or brown. Pale, chalky white, or clay-coloured stools are abnormal and can indicate a problem with the bile ducts or liver, such as biliary atresia. If you notice pale stools, especially combined with jaundice and dark urine, seek medical attention urgently. Early detection of biliary atresia significantly improves treatment outcomes.

Question 8

How is the bilirubin level measured?

Accepted Answer

There are two methods: a blood test (most accurate, taken from a heel prick) and a transcutaneous bilirubinometer (a device placed on the baby’s skin that estimates bilirubin without a blood draw). The transcutaneous method is used for screening; if levels are borderline or high, a blood test is done to confirm.

Baby Jaundice Consultation KL: When to Seek Help