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I gav birth to my second baby on 18th of April. During discharge his bilirubin report was 10.3 mg/ul. Now yesterday when I went for review my pead asked to take blood test for the same as she guessed it would be increased. And the report showed 17.4 mg/ul. She asked again for a repeat today mrng by 8. That report number was 15.3. Now is it necessary to keep the baby in phototherapy light? For wat values f the bilirubin is it compulsory to keep the baby in that light? Will the jaundice n baby reduce automatically with time? Pls advice.
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Yes, the jaundice is physiological and is receding normally and will take a week or so. It is due to breakdown of foetal haemoglobin to be replaced by normal haemoglobin. Bilirubin is a breakdown product of haemoglobin hence increases immediately after birth. Unless the child is having some abnormal haemoglobin or rh incompatibility between mother and own blood, there is no reason to worry.
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