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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How can elevated bilirubin levels in a new born infant be treated?

My child newborn 5 days old had bilirubin 14.8 Mg/dl she was given photo therapy and was found to have 10.8 Mg / Rl by third day the advice is to keep baby warm and continue non d light drops 1 l for a year per day .can the baby be.bathed or should I just only wipe baby with water sponge
Fri, 13 Apr 2018
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General & Family Physician 's  Response
Hello,

Increased bilirubin is a common problem in newborns. And, if it happens in the first week, it is more likely to be physiologic in nature. Continue with phototherapy if advised. If 48 hours of phototherapy have been completed, continue with keeping the baby warm and exclusive breastfeeding.

Exclusive breastfeeding means you only breastfeed the baby. No water, no pacifiers, no sippers. An ideal interval between breastfeedings is 2 hours, but it can be more or less based on when the baby cries. That is known as on-demand breastfeeding. Additionally, do not bathe the baby till the umbilical stump falls off. Till then, sponging is advisable. Kangaroo care is another aspect that is important, not only for exclusive breastfeeding but also for improved bonding between you and the baby.


Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Pranav Balakrishnan
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