Spherocytosis, thalassemias, G6PD deficiency, elliptocytosis, etc. Cephalohematoma, severe bruising, cerebral and pulmonary hemorrhage. From delayed excretion of bilirubin. Hypothyroidism and prematurity. Breast Milk Jaundice Progressive increase in bilirubin from day 4, peaks at 10 to 15 days of life in breast-fed infant.
Treatment Treat the underlying disorder.
Ensure adequate hydration, caloric intake, stooling. Phototherapy is not indicated in those with liver disease or jaundice secondary to obstruction. Bilirubin level should be followed every 12 hours. Bilirubin levels should be rechecked again 12 hours after discontinuation, to assess for recurrence.