Title: Neonatal Jaundice
Authors: Swarnim, Binoy Shankar, Brajesh Kumar Rai, Neha Bidhuri, K.N.Mishra
DOI: https://dx.doi.org/10.18535/jmscr/v5i5.49
Abstract
Jaundice is the most common morbidity in the first week of life and it is the commonest cause of readmission in the neonatal period. It is a multifactorial disorder with physiological jaundice being the most prevalent cause. However a high index of suspicion should be kept for detecting the pathological forms of jaundice. The prevention, detection and management of jaundice remain a challenge because of early discharge of healthy late preterm and full term newborn infants. This review article aims to introduce jaundice in the neonatal period, its types and causes, measurement of bilirubin level (established as well as the newer methods awaiting approval) , clinical approaches towards jaundice and different remedial therapeutic measures for its treatment.
Keywords: Hyperbilirubinaemia, Jaundice, Newborn, Discharge, Phototherapy.
References
1. Roche SP, Kobos R. Jaundice in the adult patient. Am Fam Physician. 2004;69 (2):299-304.
2. Briggs CD, M Peterson. Investigation and management of obstructive jaundice. Surgery. 2007;25(2):74-80.
3. American Academy of Pediatrics Provisonal Committee for Quality Improvement and Subcommittee on Hyperbilrubinemia. Practice Parameter: management of hyperbilirubinemia in the healthy term newborn. Pediatrics 1994;94:558-65.
4. Maisels MJ, Gifford K,Antle CE, Lab GR. Jaundice in the healthy newborn infant: a new approach to an old problem. Pediatrics 1988;81:505-11.
5. Dennery PA, Seidman DS, Stevenson DK. Neonatal hyperbilirubinemia. N Engl J Med. 2001;344:581–590
6. Watchko JF, Maisels MJ. Jaundice in low birthweight infants: pathobiology and outcome. Arch Dis Child Fetal Neonatal Ed. 2003;88:F455–F458
7. American Academy of Pediatrics Subcommittee on Hyperbilirubinemia. Management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation. Pediatrics 2004;114:297-316.
8. Halamek LP, Stevenson DK. Neonatal Jaundice. In Fanroff AA, Martin RJ (Eds): Neonatal Perinatal Medicine. Diseases of the fetus and Infant. 7ed. St louis, Mosby Year Book 2002. pp 1335.
9. Mishra S, Agarwal R, Deorari AK, Paul VK. Jaundice in the Newborn. AIIMS-NICU Protocols. 2014. http://www.-newbornwhocc.org/
10. Cloherty J, Eichenwald E, Hansen A. Manual of Neonatal Care. 1st ed. Philadelphia: Wolters Kluwer; 2015.