Neonatal Jaundice
Neonatal Jaundice
Neonatal Jaundice
Neonatal Jaundice
Prepared by
Sandhya basnet
Learning Objectives
• At the end of the session students will be able
to explain pathophysiology of neonatal
jaundice
2
Definition
• Yellowish discoloration of the skin and the mucosa
caused by the accumulation of excess of bilirubin in
tissue and plasma (serum bilirubin >7mg/dl)
• Around 60% of term and 80% of preterm baby
becomes visibly jaundiced in the first week of life.
• About 30-50 % term newborn develops clinical
jaundice.
Bilirubin metabolism
RES Circulation Hepatocyte
UDP -
glucaronyl
UDP -
Senescent Heme Bilirubin Bilirubin Glucuronyltransferase
RBCs +Albumin
Urobilinogen Bilirubin
conjugated
MRP2 transport
Fecal excretion protein
(stercobilin) bacteria
Thank you!!!