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Jaundice / Kernicterus - Resources
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10 key elements
(J. Maisels from Severe Neonatal Jaundice: Causes, Care, Outcomes, Prevention)

  1. Promote and support successful breastfeeding.
  2. Establish nursery protocols—include circumstances in which nurses can order a bilirubin.
  3. Measure TSB or TcB if jaundice occurs in the first 24 hours.
  4. Do not rely on visual estimation of jaundice. This can lead to errors, particularly in darkly pigmented infants.
  5. Interpret bilirubin levels according to the infant’s age in hours.
  6. Note that infants <38 weeks, particularly if breastfed, are high risk.
  7. Perform risk assessment before discharge.
  8. Give parents written and oral information about jaundice.
  9. Provide appropriate follow-up based on time of discharge and risk assessment.
  10. Treat newborns, when indicated, with phototherapy or exchange transfusion.


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Date: March 28, 2007
Content source: National Center on Birth Defects and Developmental Disabilities

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