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My baby is yellow / jaundice
Jaundice is the name given to yellowing of the skin and the whites of the eyes. Jaundice in newborn babies is very common, is usually harmless and usually clears up on its own after 10–14 days.
It is more common in premature babies were born before 37 weeks. Jaundice usually develops by 2-3 days after birth. If your baby looks yellow, health professionals may do ‘blood tests’ to check the level of jaundice.
Click here for more information
When should you worry?
If your child has any of the following:
- Unable to wake (unrousable)
- Rhythmic jerky movements of arms or legs (a seizure)
- Pauses in breathing or irregular breathing pattern
- Pale, mottled and feels abnormally cold to touch
- Is under 3 months of age with a temperature of 38°C / 100.4°F or above (unless fever in the 48 hours following vaccinations and no other red or amber features)
You need urgent help
Go to the nearest Hospital Emergency (A&E) Department or phone 999
If your child has any of the following:
- Jaundice appears in the first 24 hours of life
- Rapid progression in the intensity of 'yellowness'
- Looks very pale and yellow
- Becoming increasingly sleepy and less interested in feeding
- Unable to settle (inconsolable)
- No wet nappies in the last 8 hours
- Extremely pale (chalk coloured) stool - keep a sample to show the doctor
- Jaundice remaining beyond 2 weeks of life (after 3 weeks of life in a premature baby)
- Is 3-6 months of age with a temperature of 39°C / 102.2°F or above (but fever is common in babies up to 2 days after they receive vaccinations)
- Continues to have a fever of 38.0°C / 100.4°F or more for more than 5 days
You need to contact a doctor or nurse today
Please ring your GP surgery or call NHS 111 - dial 111
- Baby looks lightly yellow, mainly on face, which can progress to a mild to moderate intensity in the next day or two, before fading away completely over the next two weeks
- Continues to feed well, breast or formula. Has plenty of wet nappies and continues to pass green poo on day 2-3 changing to yellow "seedy" by day 5. Breast fed babies poo can appear "seedy" which are fat deposits within their poo and are a reassuring sign your baby is being well fed
- Baby wakes up/cries regularly for feeds
- Additional advice is also available for families to help cope with crying in otherwise well babies – click here
Self care
Continue providing your child’s care at home. If you are still concerned about your child contact your Health Visitor or call NHS 111 – dial 111
Why do babies get jaundice?
It is completely normal for babies to get mildly jaundiced. That's because babies are born with high levels of red cells in their blood. After birth, as these red cells break down, they produce a yellow pigment called bilirubin. Bilirubin is normally removed by the liver, but as babies have an immature liver at birth, it can take up to 2 weeks for the bilirubin to clear. Breast feeding can cause mild jaundice as well - however the benefits of breastfeeding far outweigh the mild jaundice that may results.
In a small number of cases, there may be an underlying reason for a baby becoming severely jaundiced. This includes blood group incompatibility between the mother and baby, higher than normal level of red cells in the baby or genetic problems with the red cells. If there is a family history of red cell problems, please let your midwife know during pregnancy - your baby may need special tests after birth.
Jaundice occasionally persists beyond two weeks of age (beyond three weeks for babies born preterm - less than 37 completed weeks). If this happens, your baby is likely to be called into the hospital for further blood tests to find out reasons for the prolongation. In most instances, the cause for this is just your baby's liver taking a little longer to adapt (physiological jaundice) or breast milk jaundice. Neither of these are a problem for your baby. We also check the baby for much rarer causes of prolonged jaundice. In most instances, the jaundice settles without any treatment.
How will my baby get checked for jaundice?
All newborn babies get a full head to toe examination within 72 hours of being born. Sometimes jaundice is picked up during this examination. If your baby develops jaundice at home you can speak to your midwife. If your baby falls within 'Amber', see a healthcare professional such as a midwife urgently as a blood test may be needed to check their jaundice 'level'. If your baby has any 'Red' features, they will need to be immediately assessed in hospital - dial 999 and ask for assistance from the emergency services.
For more information about testing for jaundice, click here.
Feeding your baby during jaundice:
Continue to feed your baby as planned. If you are breastfeeding your baby, continue to breast feed regularly and wake up your baby for feeds, if necessary. Formula supplementation, if not by choice, should only be considered if recommended by medical professionals.
Treatment of neonatal jaundice:
In a vast majority of babies, jaundice does not need treatment and should resolve completely by two weeks of age. Treatment is needed only if the baby's jaundice 'level' is high and likely to rise further without treatment. This decision will be made by a healthcare professional after they have checked the baby's jaundice 'level' using a hand-held device, or a blood test if needed.
The most common form of treatment is phototherapy (light treatment). Your hospital will explain what this means for your baby.
Health visitors are nurses or midwives who are passionate about promoting healthy lifestyles and preventing illness through the delivery of the Healthy Child Programme. They work with you through your pregnancy up until your child is ready to start school.
Health Visitors can also make referrals for you to other health professionals for example hearing or vision concerns or to the Community Paediatricians or to the child and adolescent mental health services.
Contact them by phoning your Health Visitor Team or local Children’s Centre.
Sound advice
Health visitors also provide advice, support and guidance in caring for your child, including:
- Breastfeeding, weaning and healthy eating
- Exercise, hygiene and safety
- Your child’s growth and development
- Emotional health and wellbeing, including postnatal depression
- Safety in the home
- Stopping smoking
- Contraception and sexual health
- Sleep and behaviour management (including temper tantrums!)
- Toilet training
- Minor illnesses
For more information watch the video: What does a health visitor do?
Midwives provide advice, care and support for women and their babies during pregnancy, labour and the early postnatal period. They provide health education and parenting advice until care is transferred to a health visitor. This usually happens when your baby is about 2 weeks old.
Sound Advice
A midwife is an expert in normal pregnancy and birth.
You can find out more information about your local midwifery team by clicking here.
If you’re not sure which NHS service you need, call 111. An adviser will ask you questions to assess your symptoms and then give you the advice you need, or direct you straightaway to the best service for you in your area.
Sound advice
Use NHS 111 if you are unsure what to do next, have any questions about a condition or treatment or require information about local health services.
For information on common childhood illnesses go to What is wrong with my child?
A&E departments provide vital care for life-threatening emergencies, such as loss of consciousness, suspected heart attacks, breathing difficulties, or severe bleeding that cannot be stopped. If you’re not sure it’s an emergency, call 111 for advice.