Jaundice: How to Care for Your Baby

Jaundice (JON-diss) is when the skin and whites of the eyes look yellow. It's caused by the buildup of bilirubin in the body. Bilirubin (bill-uh-ROO-bin) is a yellow substance made during the normal breakdown of red blood cells.

Mild jaundice in newborns usually gets better within 2 weeks without treatment. If jaundice gets worse or doesn't get better, treatment is needed to prevent serious medical problems.

Illustration: hyperbilirubinemia

Care Instructions

  • Feed your baby often. You'll know your baby is getting enough if they:
    • Feed at least 8–12 times in 24 hours.
    • Pee at least 6 times in 24 hours.
    • Do at least 1 small poop a day.
  • Continue breastfeeding. If your baby needs it, your health care provider may recommend supplementing with pumped breast milk or formula.
  • Check your baby's skin every day to see if the skin looks more yellow or if the yellow has spread to more parts of the body. Jaundice may be hard to see, especially in babies with dark skin. If you're unsure, gently press on your baby's skin. When you lift your finger, you can see if the skin is yellow.

Call Your Health Care Provider if...

Your baby: 

  • is not feeding well 
  • is peeing and pooping less than usual 
  • gets more yellow or the yellow spreads to other parts of the body
  • has jaundice that lasts for more than 2 weeks or that goes away and then comes back

Go to the ER if...

  • Your baby seems very sick or sleepy.
  • Your baby's temperature is higher than 100.4°F (38°C) taken rectally (in the bottom).

More to Know

Why do newborns get jaundice? Normally, bilirubin passes through the liver and then out of the body through poop. Sometimes newborns can't get rid of the bilirubin fast enough and it builds up in the body, causing jaundice. Premature (born early) babies are more likely to get jaundice than babies born on or near their due date. It can also take longer for jaundice to go away in a premature baby.

Other reasons that a baby might get jaundice include feeding problems, a reaction to breast milk, a genetic problem, or when the mother and baby have different blood types. 

How is jaundice treated? Most babies with jaundice don't need treatment. If a baby's bilirubin level is very high or rising, treatment using a special type of light — called phototherapy — can be done at home or in the hospital. Phototherapy changes the bilirubin to a form that can easily pass from the body. Usually, phototherapy works for jaundice. But if a baby's jaundice keeps getting worse, even with phototherapy, health care providers will do more tests to look for another cause (such as an infection, a genetic condition, or another problem). They may also recommend a different treatment.