Treatment:

Treatment will depend on the baby's bilirubin level. Often, this level is relatively low (less than 20 mg/dL). Sometimes no specific treatment is needed other than close followup.

More frequent nursing (up to 12 times a day) will increase the baby's fluid levels and can cause the bilirubin level to drop.

If the bilirubin level is more than 20 mg/dL, different treatment options are available. The mother can stop nursing for 24 to 48 hours, which will cause the bilirubin level to rapidly drop. During that time she can express the milk or pump her breasts (to maintain her comfort and the flow of milk) while feeding the baby formula. In most cases, when nursing is restarted the bilirubin will not return to previous levels.

The baby may need to stay in the hospital to receive treatment if the bilirubin level is greater than 20 mg/dL.

Other measures such as phototherapy (bili lights) may be used in the hospital for a short period of time. However, home phototherapy options are available.

Fluids, given through a vein, can also help increase the baby's fluid level and help lower bilirubin levels.

Expectations (prognosis):

Full recovery is expected with appropriate monitoring and treatment.

Complications:

With appropriate treatment, there are usually no complications. However, failure to receive timely and proper medical care can have severe consequences, since high bilirubin levels can be harmful to the baby's brain and other organs.

Calling your health care provider:

Call your health care provider immediately if you are breast feeding your baby and the baby's skin or eyes become yellow (jaundiced).