Phototherapy is a common treatment for jaundice in newborns. It helps reduce bilirubin levels in the blood. This article will explore how many hours phototherapy should be administered and other important considerations.
What is Phototherapy?
Phototherapy uses light to treat jaundice. Jaundice occurs when there is too much bilirubin in the blood. Bilirubin is a yellow substance that the liver produces when breaking down old red blood cells. Newborns often have higher bilirubin levels. This is because their livers are still maturing.
When bilirubin builds up, it can cause a yellowing of the skin and eyes. This condition is usually harmless but can become serious if bilirubin levels rise too high. Phototherapy helps the body process bilirubin more effectively.
Types of Phototherapy
There are different types of phototherapy. The most common types include:
Conventional Phototherapy: This involves placing the baby under a special light. The light helps break down bilirubin in the skin.
Intensive Phototherapy: This uses more powerful lights. It is often used for babies with very high bilirubin levels.
Fiber-optic Phototherapy: In this method, a blanket with fiber-optic lights is used. The baby can be held or fed while receiving treatment.
Each type of phototherapy has specific guidelines for duration and intensity.
Duration of Phototherapy
The duration of phototherapy can vary. It depends on several factors:
Bilirubin Levels: Higher bilirubin levels usually require longer treatment.
Age of the Baby: The age of the newborn can impact how quickly bilirubin levels drop. Generally, older babies need less treatment.
Underlying Conditions: Some medical issues may affect how quickly bilirubin is processed.
Response to Treatment: Each baby responds differently to phototherapy. Monitoring is crucial.
General Guidelines for Treatment Hours
In most cases, phototherapy is given continuously. Babies may need treatment for 24 to 72 hours. Here is a basic guideline based on bilirubin levels:
Low Levels (below 12 mg/dL): Babies may not need phototherapy.
Moderate Levels (12-15 mg/dL): Treatment usually lasts 24 hours.
High Levels (15-20 mg/dL): Babies often require 24 to 48 hours of treatment.
Very High Levels (above 20 mg/dL): Intensive phototherapy for 48 to 72 hours is common.
These are general guidelines. Always consult with a healthcare professional for personalized advice.
Monitoring During Phototherapy
Monitoring is essential during phototherapy. Healthcare providers check bilirubin levels regularly. They also monitor the baby’s temperature and overall well-being.
Babies are often placed in a crib or a phototherapy unit. They should be covered with a diaper only. This allows the light to reach as much skin as possible. Parents can hold and comfort their baby while treatment is ongoing. This helps maintain a bond during the treatment period.
Side Effects of Phototherapy
While phototherapy is generally safe, some side effects can occur. These include:
Skin Irritation: Some babies may develop a rash or redness on the skin.
Dehydration: Increased fluid loss can lead to dehydration. Keeping the baby well-hydrated is important.
Changes in Temperature: Babies may become too hot or too cold. Monitoring their temperature regularly is essential.
Sleep Disturbances: The light can disrupt sleep patterns. Some babies may be more irritable during treatment.
Most side effects are mild and temporary. However, it’s essential to notify a healthcare provider if any severe symptoms arise.
See also: What Is Phototherapy Used For In Newborns
Conclusion
Phototherapy is an effective treatment for newborn jaundice. The duration typically ranges from 24 to 72 hours, depending on bilirubin levels and individual circumstances.
Monitoring is crucial throughout the treatment. Parents should feel comfortable asking questions and discussing concerns with healthcare providers. With appropriate care, phototherapy can help ensure a healthy start for newborns.
If you have concerns about jaundice or phototherapy, consult a healthcare professional. They can provide personalized guidance based on your baby’s needs.
By understanding phototherapy and its requirements, parents can better support their newborns during this time.
Related topics:
