How long will my baby need phototherapy?

How long is Phototherapy usually needed? There are no specific guidelines for when to discontinue phototherapy. Evidence of hemolysis and age of the infant will impact the duration. In some cases, phototherapy will only be needed for 24 hours or less, in some cases, it may be required for 5 to 7 days.

How long does a baby stay under phototherapy?

Babies usually need to be under phototherapy lights for around 48 hours and often longer. How long will the jaundice last? Physiological jaundice normally clears by the time your baby is two weeks old. However, sometimes it lasts longer and further investigations may be needed to rule out other causes of jaundice.

How long is phototherapy done for?

How long will my baby need phototherapy? Babies usually need phototherapy for about 24 hours. It will be stopped once your baby’s bilirubin level is within a safe range.

How long does it take bilirubin levels to go down in newborns with phototherapy?

If your baby’s bilirubin level isn’t rising too quickly, you can also do phototherapy at home with a fiberoptic blanket that contains tiny bright lights. For most babies, it takes about a week or two for jaundice to go away. Very high levels of bilirubin, however, can damage a baby’s brain.

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When do you stop phototherapy for neonatal jaundice?

Stop phototherapy once the serum bilirubin level is 2.9 mg/dL (50 µmol/L) below the phototherapy threshold, and repeat bilirubin measurement 12 to 18 hours after phototherapy is stopped.

Does jaundice come back after phototherapy?

It is not unusual for babies to still appear jaundiced for a period of time after phototherapy is completed. Bilirubin levels may rise again 18 to 24 hours after stopping phototherapy. Although rare, this requires follow-up for those who may need more treatment.

Does phototherapy cure jaundice?

Phototherapy is treatment with a special type of light (not sunlight). It’s sometimes used to treat newborn jaundice by lowering the bilirubin levels in your baby’s blood through a process called photo-oxidation. Photo-oxidation adds oxygen to the bilirubin so it dissolves easily in water.

Can I hold my baby during phototherapy?

Drawbacks of Phototherapy

Most infants like to be swaddled, so this experience can be unsettling and lead to crying and fussiness. The babies cannot be held during treatment, so parents can become frustrated or anxious since their natural instinct is to hold, cuddle and soothe their baby.

How long does a baby have to stay in the hospital for jaundice?

Treatment in the hospital most often lasts 1 to 2 days. Your child needs treatment when their bilirubin level is too high or rising too quickly. To help break down the bilirubin, your child will be placed under bright lights (phototherapy) in a warm, enclosed bed.

How long can baby jaundice last?

Jaundice usually appears about 3 days after birth and disappears by the time the baby is 2 weeks old. In premature babies, who are more prone to jaundice, it can take 5 to 7 days to appear and usually lasts about 3 weeks. It also tends to last longer in babies who are breastfed, affecting some babies for a few months.

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What is a common adverse effect of phototherapy?

Phototherapy is a valuable therapeutic tool in Dermatology, but there may be drawbacks. Acute and long-term adverse effects, of variable severity, include skin erythema, xerosis, pruritus, blistering, altered pigmentation, photoaging, and photocarcinogenesis.

When can I stop checking my bilirubin?

TSB Monitoring During Intensive Phototherapy

TSB level (mg per dL [μmol per L]) Repeat TSB
20 (342) to 25 3 to 4 hours
14 (239) to less than 20 4 to 5 hours
Continues to decrease 8 to 12 hours
Less than 14 Discontinue phototherapy; consider rebound TSB level 24 hours after discontinuation

How common is rebound jaundice?

Incidence of rebound was found to be 11%. The most common cause of hyperbilirubinemia was found to be physiological jaundice (64.7%) followed by prematurity (27%), polycythemia (3.7%) and sepsis (3.3%).

How much does phototherapy reduce bilirubin?

The overall rate of decrease in the bilirubin concentration for the duration of exposure to phototherapy was as follows: group 1, 0.8%±0.3% per hour; group 2, 0.6%±0.3% per hour; and group 3, 0.8%±0.3% per hour.