Jaundice value of 14mg/dl at 4 days in newborns is diagnosed as pathologic jaundice, which is more severe.
When the bilirubin of the newborn is more than 12mg/dl, the diagnosis of pathological jaundice is made. Thus a 4-day jaundice value of 14mg/dl in a newborn is more severe. Excessive bilirubinemia can lead to permanent neurological damage and dysfunction.
Causes of high bilirubin in neonates include excessive bilirubin production such as ABO blood group hemolysis, hepatic metabolic dysfunction such as hypoxia and infections, and bile excretion disorders such as congenital biliary atresia.
If pathologic jaundice is diagnosed, treatment should be initiated promptly. Phototherapy can be used to reduce serum unconjugated bilirubin; albumin can be supplied to reduce the incidence of bilirubin encephalopathy; and if bilirubin continues to rise above 20 mg/dl, blood exchange therapy should be performed promptly to prevent bilirubin encephalopathy.
Newborns 4 days bilirubin 14mg/dl should be admitted to the hospital in time to clarify the cause of jaundice, timely treatment.