(CPS, ). Normally, hyperbilirubinemia resolves on its own as the infant processes the bilirubin and excretes it. However, in some infants, it can become. I was disappointed to see that the statement by the Canadian Paediatric Society ( CPS) on hyperbilirubinemia in term newborn infants did not make more specific. The CPS hyperbilirubinemia guidelines are based on universal predischarge bilirubin screening, and use of a nomogram to guide follow-up and treatment.

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Phototherapy for neonatal hyperbilirubinemia — a dose response relationship. Use of phototherapy for neonatal hyperbilirubinemia. See My Options close Already a member or subscriber?

Jaundice, terminating breast-feeding, and the vulnerable child. From July to Junecases of severe neonatal hyperbilirubinemia were reported.

Blue to green light with wavelengths of to nm is the most effective in converting unconjugated bilirubin. The guidelines also recommend timely follow-up for all infants after hospital discharge.

Re: Management of hyperbilirubinemia in term newborn infants

Participation was voluntary and participants retained the right to withdraw from the study at any time. Facilitating discharge home following a normal term birth. Association between duration of neonatal hospital stay and readmission rate. Choose a single article, issue, or full-access subscription.


Re: Management of hyperbilirubinemia in term newborn infants

It took until May three years following the release of the guidelines for the next 45 hospitals to implement universal bilirubin screening. Further information to aid patient care may be published in the interim.

One hundred and twenty-one infants Earn up to 6 CME credits per issue. Isr Med Assoc J. Journal List Paediatr Child Health v. It is often difficult for family practitioners or other primary care providers to evaluate all newborn infants within 48—72 hours of discharge, as is recommended by the American Academy of Pediatrics.

All of the authors contributed to hypeerbilirubinemia acquisition, analysis and interpretation of the data and to the drafting and revision of the article. Community-based family medicine clinic. Factors influencing implementation Factors that influenced the decision to implement universal bilirubin screening are summarized in Table 6. Types of phototherapy lights include conventional halogen or fluorescentlight-emitting diode LEDand fiber optic.

Evaluation and Treatment of Neonatal Hyperbilirubinemia – – American Family Physician

The guidelines refer to the use of intensive phototherapy, which should be used when the TSB level exceeds the line indicated for each category. Resistance from care providers to screen all babies. Since the shortened length of hospital stay for newborns was introduced in the early s, neonatal readmission to hospital has increased.


Interrupting breastfeeding in an infant with jaundice decreases the chances of successful breastfeeding. Responses from hospitals participating in the pilot were retained for inclusion in the final analysis.

Most infants were readmitted soon after discharge from hospital. Bilirubin Screening in Newborns: We thank Dr Wainer once again for his comments, and welcome hyperblirubinemia further comments on additional needs related to the management of hyperbilirubinemia in term newborn infants.

Incidence and causes of severe neonatal hyperbilirubinemia in Canada

American Academy of Family Physicians. Predischarge screening for severe neonatal hyperbilirubinemia identifies infants who need phototherapy. Further analyses are planned, which will determine the impact on health service utilization and recommended newborn follow-up.

Data collected in our study on the month and year of screening implementation at each hospital will enable us to examine the impact of the guidelines while taking into account the lag between guideline release and implementation. American Academy of Pediatrics Subcommittee on Hyperbilirubinemia. Open in a separate window.