Phototherapy for Neonatal Jaundice

Key Points

  • Phototherapy is the primary treatment for neonatal hyperbilirubinemia (jaundice) — it converts insoluble bilirubin into water-soluble isomers that are excreted in stool and urine.
  • Serum bilirubin >12 mg/dL typically requires treatment.
  • The infant must wear only a diaper with eye patches — maximum skin exposure maximizes therapeutic effect.
  • Temperature monitoring every 2 hours is required — phototherapy lights can elevate body temperature dangerously.
  • Turn off lights before serum bilirubin sampling — ultraviolet exposure degrades bilirubin in the tube.

Pathophysiology of Neonatal Jaundice

Jaundice results from elevated bilirubin in the blood, which deposits in skin and sclera. Bilirubin is produced from the breakdown of fetal red blood cells. Unconjugated bilirubin binds to albumin and is transported to the liver, where it is conjugated with glucuronic acid (via the enzyme UGT) to become water-soluble.

Neonates are vulnerable because:

  • Fetal RBCs have a shorter lifespan (70-90 days vs. 120 days)
  • Neonatal liver enzyme activity is immature
  • Enterohepatic circulation increases bilirubin reabsorption when feedings are insufficient

Types of Neonatal Jaundice

TypeOnsetBilirubin LevelNotes
Physiologic jaundiceAfter first 24 hoursPeaks days 2-4Normal; resolves by day 5-7 in term infants
Pathologic (nonphysiologic)Within first 24 hoursAbove normal for ageRequires earlier treatment; Rh/ABO incompatibility, metabolic disorders, sepsis
Breastfeeding jaundiceFirst week>12 mg/dL in 13% of breastfed infantsInsufficient milk intake; resolve by increasing feeds
Breast milk jaundiceAfter day 5-75-10 mg/dL (up to 20-30 mg/dL)Beta-glucuronidase in breast milk; resolves over weeks to months

Kernicterus Risk

Untreated severe hyperbilirubinemia causes kernicterus — bilirubin-induced brain injury. Early signs include lethargy, poor feeding, high-pitched cry, and hypotonia. Advanced signs include seizures and opisthotonus.

Indications

  • Serum or transcutaneous bilirubin (TCB) >12 mg/dL generally requires treatment
  • Phototherapy threshold varies by gestational age, postnatal age, and risk factors — follow provider orders and hospital policy
  • TCB monitoring preferred (noninvasive); serum bilirubin by heel stick if confirmation needed

Phototherapy Procedure

Setup

  1. Obtain provider order for phototherapy
  2. Obtain phototherapy unit (bili lights or bili blanket for home use) per facility protocol
  3. Obtain opaque eye patches (phototherapy goggles) — sized appropriately for infant
  4. Obtain diaper (only covering genital area)

Nursing Implementation

  • Place infant under bili lights in incubator, thermoregulated environment, or open crib
  • Apply eye patches over closed eyes before placing under lights — prevents retinal damage
  • Cover genital area only with diaper — maximize skin exposure for therapeutic effect
  • Ensure light source is positioned per manufacturer specifications

Monitoring During Phototherapy

AssessmentFrequencyNotes
Skin and eye assessmentEvery 2 hours during feeding breaksRemove infant from lights for feeding
TemperatureEvery 2 hoursPhototherapy elevates body temperature — watch for hyperthermia
Serum bilirubinPer orders (typically q4-6h)Turn off lights before collection — UV degrades bilirubin in sample
FeedingEvery 2-3 hours (8-12 feedings/day)Breastfeeding encouraged; adequate intake reduces enterohepatic circulation
Stool and urine outputEach diaper changePhototherapy increases bilirubin excretion; expect looser stools

Lights Off Before Bilirubin Sample

Both conjugated and unconjugated bilirubin are photo-oxidized when exposed to white or ultraviolet light. Phototherapy must be turned OFF during serum bilirubin specimen collection.

Parent-Infant Interaction

  • Remove infant from lights every 2 hours for feeding and bonding
  • Eye covers may be removed during periods outside the lights for parent-infant eye contact
  • Eye patches must be replaced when infant is returned to phototherapy
  • Educate parents that brief periods outside the lights are safe and beneficial for bonding

Parent Education for Home Bili Blanket

  • Position infant skin directly against the bili blanket (no clothing between skin and blanket)
  • Monitor temperature; call provider if temp >99°F rectally or <97°F rectally
  • Continue breastfeeding every 2-3 hours (8-12 feedings/day)
  • Expose maximum skin surface area — remove diaper during blanket use when safe
  • Keep scheduled follow-up appointments for bilirubin monitoring

Self-Check

  1. Why must phototherapy lights be turned off before collecting a serum bilirubin sample?
  2. What is the purpose of eye patches during phototherapy, and when can they safely be removed?
  3. A neonate’s temperature rises to 100.2°F during phototherapy. What is the nursing priority?