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Postgraduate medicine · Nov 1999
Neonatal jaundice. Strategies to reduce bilirubin-induced complications.
- K Melton and H T Akinbi.
- Division of Neonatology, Children's Hospital Medical Center, Cincinnati, Ohio 45229-3039, USA.
- Postgrad Med. 1999 Nov 1; 106 (6): 167-8, 171-4, 177-8.
AbstractNeonatal hyperbilirubinemia is the most common reason for hospital readmission in the first 2 weeks of life. Kernicterus is still relatively uncommon but has been on the rise with the institution in the 1990's of aggressive early postnatal discharge policies. Bilirubin-induced complications can be prevented by instituting a neonatal jaundice protocol to identify infants at risk for significant hyperbilirubinemia, by ensuring adequate parental education and preparedness, and by implementing a good neonatal tracking system for follow-up care. Hyperbilirubinemia is easily treated with phototherapy, which can be administered at home in selected infants.
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