Hyperbilirubinemia in the Term Newborn -- American Family Physician
نویسنده
چکیده
Risk Factors for Hyperbilirubinemia Infants without identified risk factors rarely have total serum bilirubin levels above 12 mg per dL (205 μmol per L). As the number of risk factors increases, the potential to develop markedly elevated bilirubin levels also increases. Common risk factors for hyperbilirubinemia include fetal-maternal blood group incompatibility, prematurity, and a previously affected sibling (Table 1). Cephalohematomas, bruising, and trauma from instrumented delivery may increase the risk for serum bilirubin elevation. Delayed meconium passage also increases the risk. Infants with risk factors should be monitored closely during the first days to weeks of life.
منابع مشابه
A practical approach to neonatal jaundice.
Kernicterus and neurologic sequelae caused by severe neonatal hyperbilirubinemia are preventable conditions. A structured and practical approach to the identification and care of infants with jaundice can facilitate prevention, thus decreasing rates of morbidity and mortality. Primary prevention includes ensuring adequate feeding, with breastfed infants having eight to 12 feedings per 24 hours....
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OBJECTIVE To survey current practices among different types of medical practitioners in Ontario to assess if national guidelines for screening and management of neonatal hyperbilirubinemia were being followed. DESIGN An anonymized, cross-sectional survey distributed by mail and e-mail. SETTING Ontario. PARTICIPANTS From each group (general practitioners, family medicine practitioners, and...
متن کاملEvaluation and treatment of neonatal hyperbilirubinemia.
Although neonatal jaundice is common, acute bilirubin encephalopathy and kernicterus (i.e., chronic bilirubin encephalopathy) are rare. Universal screening for neonatal hyperbilirubinemia is controversial. The American Academy of Pediatrics recommends universal screening with bilirubin levels or targeted screening based on risk factors. However, the U.S. Preventive Services Task Force and the A...
متن کاملPrevention of kernicterus: new guidelines and the critical role of family physicians.
In the 1940s and the 1950s, severe neonatal hyperbilirubinemia and kernicterus were most often encountered with hemolytic disease of newborn (HDN), which occurs most often as a result of the incompatibilities of the Rh and ABO blood groups. With the advent of prenatal testing, maternal Rh°(D) immunoglobulin, phototherapy, and exchange transfusion, the incidence of severe hyperbilirubinemia dras...
متن کاملبررسی تاثیر کلوفیبرات بر زردی نوزادان
Abstract: Background: Hyperbilirubinemia is a common problem in newborn infants and may progress to kernicterus if not treated. The objective of this study was to determine the therapeutic effect of clofibrate in full-term healthy neonates with non-hemolytic hyperbilirubinemia. Material and method: A randomized clinical trial was performed on two groups of healthy full-term neonates with jau...
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تاریخ انتشار 2002