Pediagogy™

Pediagogy™


Newborn jaundice part 2

July 15, 2023

Learn about management of newborn jaundice in our 2-part series. 

  

Follow us on Twitter @Pediagogypod and connect with us at pediagogypod@gmail.com 

 

This episode was written by Dr. Tammy Yau and Dr. Lidia Park, with content support from Dr. Daphne Say, Dr. Lena van der List, and Dr. Su-Ting Li. Drs. Tammy and Lidia take full responsibility for any errors or misinformation. 

 

Key points: 

  

-Unconjugated bilirubin is fat soluble so can cross the blood brain barrier and cause kernicterus 

-Check bilirubin levels at least every 24 hours while a newborn is first hospitalized 

-New AAP guidelines on hyperbilirubinemia management raised phototherapy and exchange transfusion thresholds 

-Transcutaneous bilirubin monitoring has a +/- 3 margin of error

 

Supplemental Information 

2022 AAP Pediatrics Guidelines: https://publications.aap.org/pediatrics/article/150/3/e2022058859/188726/Clinical-Practice-Guideline-Revision-Management-of?autologincheck=redirected  

2012 Journal of Perinatology – Hyperbilirubinemia in Infants < 35 weeks gestation:  https://www.nature.com/articles/jp201271#Tab1  

2014 AAP Pediatrics - Transcutaneous Bilirubin After Phototherapy in Term and Preterm Infants https://publications.aap.org/pediatrics/article/134/5/e1324/75870/Transcutaneous-Bilirubin-After-Phototherapy-in?autologincheck=redirected