Excess bilirubin (hyperbilirubinemia) is the main cause of jaundice. Bilirubin, which is responsible for the yellow color of jaundice, is a normal part of the pigment released from the breakdown of "used" red blood cells.
Normally, the liver filters bilirubin from the bloodstream and releases it into the intestinal tract. A newborn's immature liver often can't remove bilirubin quickly enough, causing an excess of bilirubin. Jaundice due to these normal newborn conditions is called physiologic jaundice, and it typically appears on the second or third day of life.
An underlying disorder may cause jaundice. In these cases, jaundice often appears much earlier or much later than physiologic jaundice. Diseases or conditions that can cause jaundice include:
April 03, 2014
- Internal bleeding (hemorrhage)
- An infection in your baby's blood (sepsis)
- Other viral or bacterial infections
- An incompatibility between the mother's blood and the baby's blood
- A liver malfunction
- An enzyme deficiency
- An abnormality of your baby's red blood cells that causes them to break
- Wong RJ, et al. Clinical manifestations of unconjugated hyperbilirubinemia in term and late preterm infants. http://www.uptodate.com/home. Accessed Nov. 7, 2013.
- Management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation. American Academy of Pediatrics Policy. http://pediatrics.aappublications.org/content/114/1/297.full.html. Accessed Nov. 7, 2013.
- Hay WW, et al. Current Diagnosis & Treatment: Pediatrics. 21st ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com /resourceTOC.aspx?resourceID=14. Accessed Nov. 7, 2013.
- Wong RJ, et al. Evaluation of unconjugated hyperbilirubinemia in term and late preterm infants. http://www.uptodate.com/home. Accessed Nov. 7, 2013.