A review of existing neonatal hyperbilirubinemia guidelines in Indonesia

Background: Neonatal hyperbilirubinemia is one of the most common conditions for neonate inpatients. Indonesia faces a major challenge in which different guidelines regarding management this condition were present. This study aimed to compare existing prevention, diagnosis, treatment and monitoring order create best recommendation new hyperbilirubinemia guideline Indonesia. Methods: Through an earlier survey adherence neonatal guideline, we identified that three main are being used Indonesia. These developed by Indonesian Pediatric Society (IPS), Ministry Health (MoH), World Organization (WHO). In study, compared factors such as monitoring, methods identifying, risk development jaundice, increase brain damage, intervention threshold determine recommendations guideline. Results: The MoH WHO allow screening based on visual examination (VE) only. Compared with guidelines, assessment comprehensively discussed IPS guideline. recommends further icteric baby ensure mother has enough milk without measuring bilirubin level. referring when it looks yellow soles palms. recommend combining VE objective measurement transcutaneous or serum bilirubin. begin phototherapy lower than while exchange transfusion both comparably equal. Conclusions: The outdated. causing differences approaches hyperbilirubinemia. A new, uniform required.