Evidence · Research paper
Assessment, management, and incidence of neonatal jaundice in healthy neonates cared for in primary care: a prospective cohort study.
- Families and professional practice
- Jaundice and haematology
- Jaundice and phototherapy
- Medical
- Nursing
- Postnatal and transitional care
- Quality improvement
Summary
Prospective cohort study embedded in the Dutch STARSHIP stepped wedge trial, describing usual care for jaundice in healthy neonates of 35 weeks' gestation or more admitted to seven primary care birth centres in the Netherlands. Most neonates were visibly jaundiced at some point, and visual assessment did not correlate with total serum bilirubin levels. Some very jaundiced neonates did not have serum bilirubin measured, and a few did not receive phototherapy when indicated. The authors call for quality improvement and alternative approaches to identifying potentially severe hyperbilirubinaemia.
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- Open (Creative Commons)
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