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35 weeks gestational age
- In 2022, the American Academy of Pediatrics (AAP) updated its clinical practice guideline for neonatal hyperbilirubinemia in newborns who are at least 35 weeks gestational age.
www.sciencedirect.com/science/article/pii/S2667009723000970Neonatal jaundice: Recommendations for follow-up and treatment
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What is the management of neonatal jaundice?
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What is the new 'jaundice in newborn babies under 28 days' guideline?
Neonatal Jaundice 4; Before discharge 24-72 hrs from birth All babies must be evaluated clinically for bilirubin levels while in hospital and before discharge; and confirmed objectively when in doubt, by a transcutaneous bilirubinometer or serum bilirubin plotted on hour specific nomograms.
Oct 31, 2023 · within 18 hours for babies with risk factors for neonatal jaundice (those with a sibling who had neonatal jaundice that needed phototherapy or a mother who intends to exclusively breastfeed) within 24 hours for babies without risk factors.
Aug 5, 2022 · KAS 17: Care should be escalated when an infant’s TSB reaches or exceeds the escalation-of-care threshold, defined as 2 mg/dL below the exchange transfusion threshold, as detailed in Fig 5 (infants with no known hyperbilirubinemia neurotoxicity risk factors; Supplemental Table 3 and Supplemental Fig 3) or Fig 6 (infants whose TSB is ...
if the transcutaneous bilirubin is within 25micromols/l of the treatment line a serum bilirubin should be obtained (use treatment threshold graph). always use serum bilirubin measurement to determine the bilirubin level in babies with jaundice in the first 24 hours of life.
Mar 1, 2024 · Neonatal hyperbilirubinemia, also known as jaundice, is a common condition in the neonatal period due to the adaptation of bilirubin metabolism that occurs during this time. Approximately 60 % of term infants and 80 % of preterm infants develop jaundice in their first week of life.
In May 2016, the National Institute for Health and Care Excellence (NICE) published updated guidelines entitled ‘Jaundice in newborn babies under 28 days’ (box 1).1 The guideline covers diagnosis and treatment of neonates with jaundice, aiming ‘to help detect and prevent very high levels of bilirubin’.
These treatment threshold graphs accompany the clinical guideline: ‘Neonatal jaundice’. They are also available as an implementation tool. (Both are available online at www.nice.org.uk/guidance/CG98) Issue date: May 2010
