Neonatal jaundice. Strategies to reduce bilirubin-induced complications

Postgrad Med. 1999 Nov;106(6):167-8, 171-4, 177-8. doi: 10.3810/pgm.1999.11.775.

Abstract

Neonatal hyperbilirubinemia is the most common reason for hospital readmission in the first 2 weeks of life. Kernicterus is still relatively uncommon but has been on the rise with the institution in the 1990's of aggressive early postnatal discharge policies. Bilirubin-induced complications can be prevented by instituting a neonatal jaundice protocol to identify infants at risk for significant hyperbilirubinemia, by ensuring adequate parental education and preparedness, and by implementing a good neonatal tracking system for follow-up care. Hyperbilirubinemia is easily treated with phototherapy, which can be administered at home in selected infants.

MeSH terms

  • Bilirubin / blood*
  • Exchange Transfusion, Whole Blood
  • Follow-Up Studies
  • Home Care Services
  • Humans
  • Infant, Newborn
  • Jaundice, Neonatal / etiology
  • Jaundice, Neonatal / prevention & control*
  • Jaundice, Neonatal / therapy
  • Kernicterus / etiology
  • Parents / education
  • Patient Readmission
  • Phototherapy
  • Risk Factors

Substances

  • Bilirubin