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Newborn jaundice
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FeedingChoose one
WeightChoose one
ExamChoose any
Neurotoxicity risk factorsChoose any
Bilirubin and planChoose one
LabsChoose any
Feeding planChoose one
Feeding supportChoose any
Follow-upChoose one
Follow-up reasonChoose anyJoins the line above
Counseling
Jaundice is common in newborns and usually clears as feeding improves. Recommended supportive care with an emphasis on frequent feeds, which help clear bilirubin; sunlight and water are not recommended as treatment. Return precautions given including yellow color spreading to the legs or getting deeper, poor feeding or fewer wet diapers, being very sleepy or hard to wake, a high-pitched cry or arching, pale stools or dark urine, fever, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.
What the sources cover
- Feeding and output
- Weight loss from birth weight
- Signs of acute bilirubin encephalopathy
- Neurotoxicity risk factors
- TSB if TcB within 3 of threshold or ≥ 15
- Below threshold: no repeat or repeat timing by distance from threshold
- Declining bilirubin
- Home phototherapy criteria and daily TSB
- Admission for phototherapy
- Escalation of care, NICU direct
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- Prolonged jaundice: total and direct bilirubin, newborn screen
- Maternal blood type and antibody screen; CBC, DAT/type, G6PD
- Thyroid studies for prolonged jaundice
- Breastfeeding ≥ 8 feeds/day; no water or dextrose
- Supplement with expressed milk or formula as shared decision
- Lactation support
- Sunlight not recommended
- Follow-up timing
- Education: jaundice, dehydration, lethargy, poor feeding
Used to decide, kept out of the note
- Hyperbilirubinemia risk factors
- Visual assessment unreliable