Phototherapy for Newborns
What Is Phototherapy?
Phototherapy uses blue-green light (420–470 nm) to convert excess bilirubin in the blood into water-soluble forms that the body can excrete. It’s the first-line treatment for neonatal jaundice and prevents dangerous complications like kernicterus (brain damage from high bilirubin).
How Does It Work?
- Isomerization: Light changes bilirubin’s shape, making it easier to eliminate.
- Photo-oxidation: Produces additional breakdown products excreted by the liver and kidneys.
Who Needs Phototherapy?
- Newborns with physiologic jaundice (common in the first week of life)
- Babies with pathologic jaundice from blood incompatibility, infection, or genetic disorders
- Children with rare conditions like Crigler–Najjar syndrome
Common Misconceptions
- Phototherapy will overheat a baby. With proper temperature monitoring and shielding, it’s safe and comfortable.
- Home phototherapy isn’t effective. Modern fiber-optic blankets deliver hospital-grade care in a familiar setting.
In-Hospital Phototherapy
- Overhead LED lamps: Deliver high irradiance (≥30 µW/cm²/nm) for rapid bilirubin reduction.
- Monitoring: Nurses check bilirubin levels and vital signs every 6–12 hours.
Home-Based Phototherapy
- Biliblankets: Portable fiber-optic pads allow parents to continue treatment at home under pediatric guidance.
- Convenience: Reduces hospital stays while maintaining safety and efficacy.
Choosing the Right Facility
When weighing hospital versus home therapy, consider:
- Severity of jaundice and speed of bilirubin rise
- Access to follow-up testing and emergency support
- Your family’s comfort and ability to manage treatment
Why Roshini Children’s Hospital Leads in Phototherapy
State-of-the-Art NICU & Equipment
Our Level III NICU features the latest LED phototherapy units and biliblankets, ensuring rapid and safe treatment.
Expert Neonatology Team
Board-certified neonatologists and specialized pediatric nurses deliver round-the-clock care, monitoring bilirubin levels, hydration, and temperature.
Personalized Family Support
We offer:
- One-on-one training for home phototherapy
- 24/7 telephonic support for treatment queries
- Free follow-up bilirubin testing until levels stabilize
Seamless Care Continuum
From initial diagnosis to discharge and home care, our team coordinates labs, physician consults, and equipment delivery—so families experience zero gaps in treatment
FAQ's
How long does phototherapy take to lower bilirubin?
Most newborns show a 2–3 mg/dL drop within 24 hours. Treatment continues until levels remain safely below your baby’s personalized threshold.
Can my baby move around during phototherapy?
Yes. Overhead units are adjustable, and biliblankets move with your child. Our staff ensures proper positioning throughout.
Are there any side effects?
Side effects are rare. We protect your baby’s eyes and monitor temperature and hydration to prevent overheating and fluid loss.
When can we stop phototherapy?
Phototherapy ends when bilirubin levels are safely below the treatment threshold and remain stable on two successive tests.
Is home phototherapy as effective as in-hospital care?
Modern biliblankets match hospital-grade irradiance. With proper training and follow-up, home therapy is just as effective for eligible infants.