What should I do if a newborn baby starts showing jaundice after five days?

Patient's question:

A newborn baby started showing jaundice again on the fifth day of life, and no detailed medical examination was conducted at the hospital. It wasn't until the 14th day of birth that a thorough examination revealed the following jaundice levels: head 18.3, face and chest both 21.5. Could the high jaundice levels be due to the lack of medical examination and medication because of the recurrence of jaundice? Why was the blue light treatment not effective after two days? Thank you!

Doctor's answer:

The baby has started showing signs of jaundice again five days after birth. At 14 days, the jaundice is quite pronounced, with a head level of 18.3 and a face and chest level of 21.5. Physiological jaundice usually peaks around seven days and then gradually decreases. At 14 days, the level being this high suggests pathological jaundice. Blue light therapy is quite effective for jaundice, so focus on blue light treatment. Give the baby more milk, offer some water, and encourage more feeding and urination to help reduce the jaundice.

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