Is neonatal jaundice blood exchange common?

Patient's question:

The newborn's jaundice is too severe. The doctor said it is necessary to disperse the function for the treatment of this child. Only by dispersing the function can the problem be completely solved, otherwise the child will be in danger. Hello, is it common to disperse the function for newborn jaundice?

Doctor's answer:

Newborn jaundice usually does not pose significant risks. If jaundice reappears 24 hours after birth, with daily serum bilirubin levels increasing by less than 5 mg/dL or less than 0.5 mg/dL per hour. If it persists for more than 2 weeks in full-term infants or more than 4 weeks in premature infants, even if it fluctuates or fades away within a week or weeks after birth, it may indicate pathological jaundice. Blue light therapy must be implemented. Jaundice can effectively reduce bilirubin exchange and increase sensitized red blood cells, leading to anemia. However, blood exchange requires certain conditions and may cause many adverse reactions. Therefore, it should be strictly controlled, and this is usually used when phototherapy is successful.

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