Newborn Jaundice: What Parents Need to Watch For

Yellowing of the skin is common in newborns, but some babies need phototherapy. Know the signs, timing and when to seek neonatal care.

Why newborns look yellow

Newborn jaundice is caused by bilirubin, a pigment from the normal breakdown of red blood cells. The newborn liver takes a few days to clear it. Mild jaundice on day 2–3 is very common and often settles with feeding.

Some babies need phototherapy in the nursery or NICU so bilirubin does not rise to a level that can affect the brain.

What to look for at home

Check in good daylight:

• Yellowing of the face, then chest, then legs
• Yellow in the whites of the eyes
• Sleepiness, poor feeding, or fewer wet nappies
• Pale stools or dark urine

Jaundice in the first 24 hours of life, jaundice that is deepening after day 3–4, or a baby who is not feeding well needs same-day review.

Who is at higher risk

• Premature babies
• Blood group incompatibility (mother O or Rh negative)
• Bruising or a difficult delivery
• Poor feeding or significant weight loss
• Sibling who needed phototherapy

Paramitha Level III NICUs at our network provide phototherapy, blood tests and, when required, further neonatal care under neonatologists including Dr Venkat Reddy Kallem.

After discharge

Keep feeding frequently. If you are told to return for a bilirubin check, do not skip it — levels can rise quickly. Bring the discharge summary to the paediatric visit.

If your baby looks more yellow, is difficult to wake, or is not feeding, come to the nearest Paramitha emergency. Helpline: 040-40108108.