Newborn Bilirubin Blood Test: Understanding Normal Levels For Your Baby’s Health

Medically Reviewed by:Dr. Kanika
Newborn Bilirubin Blood Test: Understanding Normal Levels For Your Baby’s Health

The birth of a baby is a joyful occasion, but it’s also a time when parents must remain vigilant about their newborn’s health. Among the many medical tests a baby undergoes after birth, the bilirubin blood test is one of the most critical. This test helps detect jaundice, a common condition in newborns caused by high bilirubin levels.

In this blog, we’ll look into the normal bilirubin level in newborns, the bilirubin levels chart, and how understanding the normal range of bilirubin in newborns is vital for their health. At Dr. B. Lal Lab, we provide precise diagnostics to ensure the best start for your baby’s life.

What is Bilirubin?

Bilirubin is a yellow pigment produced during the natural breakdown of red blood cells. The liver processes this pigment, which is then excreted through the stool.

In newborns, however, the liver is often still maturing and may not efficiently process bilirubin. This can result in higher bilirubin levels, leading to jaundice, characterized by yellowing of the skin and eyes. While mild jaundice is common and usually harmless, severe cases require immediate medical attention.

Why is a Bilirubin Test Important for Newborns?

The bilirubin blood test measures the amount of bilirubin in a baby’s blood to identify jaundice and assess its severity. Early detection is crucial because untreated high bilirubin levels can lead to complications like kernicterus, a rare but serious form of brain damage.

Normal Bilirubin Level in Newborn

The normal bilirubin level in newborns varies based on their age in hours or days. Typically, the levels are:

  • Less than 24 hours old: Below 6 mg/dL
  • 24–48 hours old: Below 10 mg/dL
  • 48–72 hours old: Below 12 mg/dL
  • Older than 72 hours: Below 15 mg/dL

These ranges represent the upper limits of normal bilirubin levels. 

Normal Range of Bilirubin in Newborn

The normal range of bilirubin in newborns can vary slightly depending on the method of measurement and the baby’s specific health condition. In general:

  • Total Bilirubin Levels: Less than 5 mg/dL at birth, increasing within the first 3–5 days before returning to normal levels by the end of the first week.
  • Direct Bilirubin Levels: This represents conjugated bilirubin processed by the liver. Levels should remain below 1.5 mg/dL.
  • Indirect Bilirubin Levels: This is unconjugated bilirubin, the form present before the liver processes it. Higher levels are common in newborns but should decrease as liver function improves.

Bilirubin Levels Chart

A bilirubin levels chart is an essential tool used by healthcare professionals to assess and manage jaundice. 

The American Academy of Pediatrics uses a jaundice level chart to assess whether a newborn needs treatment, based on the baby's serum bilirubin level and age​.

Total serum bilirubin (TSB) level Age of newborn
Above 10 milligrams Less than 24 hours old
Above 15 milligrams 24 to 48 hours old
Above 18 milligrams 49 to 72 hours old
Above 20 milligrams Older than 72 hours

The specific thresholds for treatment, such as phototherapy or exchange transfusion, depend on the baby’s age, weight, and overall health.

Also, read: What is Fetal Weight? Fetal Weight Chart in Grams

Causes of High Bilirubin Levels in Newborns

Several factors can contribute to elevated bilirubin levels, including:

1. Physiological Jaundice: Common in the first week of life due to the immature liver.

2. Breastfeeding Jaundice: Caused by inadequate feeding or dehydration in the first few days.

3. Blood Group Incompatibility: Hemolysis due to Rh or ABO incompatibility between the baby and the mother.

4. Prematurity: Premature babies are at higher risk due to underdeveloped livers.

5. Infections: Certain infections can impair liver function and increase bilirubin levels.

6. G6PD Deficiency: A genetic condition affecting red blood cell breakdown.

Symptoms of Jaundice in Newborns

Parents should watch for the following signs of jaundice:

  • Yellowing of the skin and eyes
  • Poor feeding or lethargy
  • Dark urine
  • Pale-colored stools

If you notice these symptoms, consult your healthcare provider immediately.

Treatment for High Bilirubin Levels

Treatment depends on the bilirubin level, the baby’s age, and the underlying cause:

  • Phototherapy: The baby is placed under special blue light that breaks down bilirubin into a form that can be easily excreted.
  • Exchange Transfusion: In severe cases, a portion of the baby’s blood is replaced to rapidly reduce bilirubin levels.
  • Adequate Feeding: Frequent breastfeeding or formula feeding ensures the baby stays hydrated and helps eliminate bilirubin.
  • Medications: In rare cases, medications may be used to enhance bilirubin breakdown.

How is the Test Performed?

The bilirubin test can be done through:

  • Blood Test:

A small sample of blood is taken from the baby’s heel.

  • Transcutaneous Bilirubinometer:

A non-invasive device placed on the baby’s skin to measure bilirubin levels.

Our state-of-the-art diagnostic facilities ensure accurate and reliable bilirubin level testing for newborns.

Why Choose Dr. B. Lal Lab for Bilirubin Testing?

  • Advanced Technology:

We use cutting-edge methods for precise bilirubin measurement.

  • Expert Guidance:

Our team ensures you understand the results and guides you through the next steps.

  • Convenient Services:

Quick turnarounds and easy scheduling prioritize your baby’s health and your peace of mind.

Preventing High Bilirubin Levels in Newborns

While not all cases of jaundice are preventable, some measures can reduce the risk:

  • Ensure Frequent Feeding:

Feed your baby at least 8–12 times a day to promote bilirubin excretion.

  • Monitor for Symptoms:

Keep an eye out for yellowing skin or changes in feeding patterns.

  • Regular Checkups:

Routine visits to the pediatrician ensure early detection and management of jaundice.

Also, read: Foods You Should Embrace and Avoid to Enhance Your Liver Health!

Conclusion

Understanding your baby’s normal bilirubin level is crucial for their health and development. The bilirubin levels chart serves as a guide for evaluating jaundice severity, while regular testing ensures timely treatment.

At Dr. B. Lal Lab, we are committed to providing accurate and comprehensive bilirubin testing for newborns. Partner with us to ensure your baby starts life on a healthy note.

Schedule your newborn’s bilirubin test today at Dr. B. Lal Lab, where precision and care meet to safeguard your child’s well-being.

Frequently Asked Questions (FAQs)

Q1: What is bilirubin?
A: Bilirubin is a yellow pigment that is produced when red blood cells break down. It’s normally processed by the liver and excreted in stool.

Q2: Why is a bilirubin test important for newborns?
A: A bilirubin test is important for newborns to check for jaundice, a condition caused by high levels of bilirubin in the blood. Untreated jaundice can lead to serious health problems.

Q3: How is a bilirubin test performed?
A: A bilirubin test can be performed through a blood test or using a non-invasive device called a transcutaneous bilirubinometer.

Q4: Can I get a bilirubin test at Dr. B. Lal Lab?
A: Yes, Dr. B. Lal Lab offers bilirubin testing for newborns. They have state-of-the-art facilities and experienced professionals to ensure accurate and timely results.

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