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Pediatr Clin North Am. 2004 Aug;51(4):843-61, vii.

Diagnosis and management of hyperbilirubinemia in the term neonate: for a safer first week.

Author information

1
Department of Pediatrics, University of Pennsylvania School of Medicine, 800 Spruce Street, Philadelphia, PA 19107, USA. vkbdev@aol.com

Abstract

New data support restructuring the approach toward diagnosis and management of hyperbilirubenia in the term neonate to make it more physician-friendly and gain wider implementation. The authors advocate clear criteria for patient safety, preventive approaches, and timely interventions. Structural changes to facilitate a system-based approach should include predischarge bilirubin management; follow-up bilirubin management; and lactational support and nutritional management. The authors advocate total serum bilirubin screening and a scoring system based on clinical risk factors as predischarge screening strategies; we should screen all babies for hyperbilirubinemia and for targeted follow-up based on an hour-specific total serum bilirubin measured for risk assessment. We should also provide focused universal education emphasizing adequate lactational nutrition, to decrease severe hyperbilirubinemia and thus prevent kernicterus.

PMID:
15275978
DOI:
10.1016/j.pcl.2004.03.011
[Indexed for MEDLINE]

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