Whether a newborn with a serum total bilirubin value of 245 μmol/L is serious or not depends on the newborn’s age and whether it is accompanied by high-risk factors, such as hyperthermia, sepsis, and hypoxia.
1. Unserious cases: if the serum total bilirubin value is 245μmol/L after 4 days of life, and there are no high-risk factors, such as high fever, sepsis, hypoxia, etc., the jaundice is usually unserious; most of the full-term babies will subside in 5-7 days, and the delay is not more than 2 weeks; the jaundice of the preterm babies will subside in 7-9 days, and the delay can be as long as 3~4 weeks.
2. Serious cases: newborns with serum total bilirubin value of 245μmol/L within 4 days of birth, accompanied by related high-risk factors, such as hyperthermia, sepsis, hypoxia, etc., this case is more serious, and if symptomatic treatment is not given in a timely manner, it is easy to develop bilirubin encephalopathy, and even threaten the life of newborns.
It is recommended that once parents find that jaundice persists in their newborns, they should go to the pediatrician in time, make a clear diagnosis as soon as possible, and follow the doctor’s instructions to carry out targeted treatment, in order to avoid undesirable situations.