Health promotion and prevention of neonatal hyperbilirubinemia

Health promotion and prevention of hyperbilirubinemia
  1. Promote and support successful breastfeeding
  2. Establish protocols for the assessment of hyperbilirubinemia
  3. Measure total serum bilirubinemia or trancutaneous bilirubinemia of jaundiced infants within 24hrs
  4. Visual estimation of jaundice degree can lead to inaccurate assessment
  5. Interpret labs results of hyperbilirubinemia with respect to infant’s age in hours old
  6. Infants <38 weeks gestation, particularly those with inadequate milk intake in poor breastfeeding, those with congenital defects and infections such as hepatitis are at higher risk, requiring heightened monitoring.
  7. Perform a systematic assessment on all infants before discharge for severe hyperbilirubinemia risk.
  8. Educate parents to assess for newborn jaundice
  9. Provide follow-up and home visits for those at higher risk
  10. Treat newborns with severe hyperbilirubinemia with phototherapy and or exchange blood transfusion.
Source:
American Academy of Pediatrics, Clincical Practice Guideline, Subcommittee on Hyperbilirubinemai. (2004). Management of Hyperbilirubinemia in the newborn infant 35 or more weeks of gestation. Pediatrics. 114 (1) 297-316
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