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Management of neonatal jaundice

Authoring team

Management is as follows:

  • diagnosis and correction of any underlying abnormality is important
  • fluid and caloric intake will prevent worsening jaundice
  • unconjugated hyperbilirubinaemia may be treated with phototherapy or with exchange transfusion
  • conjugated hyperbilirubinaemia due to obstruction would be treated with the appropriate management for the underlying condition. Phototherapy or exchange transfusion may be required depedning on level of hyperbilirubinaemia
  • management options for hyperbilirubinaemia have been stated by NICE (1):
    • monitoring, or,
    • phototherapy, or,
    • exchange transfusion
    • NICE have issued guidance as to the levels of raised bilirubin and age of the neonate when each management strategy is indicated:

Age (hours)

Bilirubin measurement (micromol/litre)

0

> 100

6

> 150

12

> 200

18

> 250

24

> 300

30

> 350

36

> 400

42

> 450

48

> 450

54

> 450

60

> 450

66

> 450

72

> 450

78

> 450

84

> 450

90

> 450

96+

> 450

Reference:


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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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