The American Academy of Pediatrics has released its latest clinical practice guidelines on the management of hyperbilirubinemia in newborns of 35 weeks gestation or more. We published the guidelines on the prevention and screening of hyperbilirubinemia in Part 1 of this post. In this part, we provide a summary of the guidelines on the treatment of hyperbilirubinemia and follow-up care.
Hyperbilirubinemia treatment Phototherapy Perform intensive phototherapy based on gestational age, age of the newborns in hours, and hyperbilirubinemia neurotoxicity risk factors At-home LED-based phototherapy is recommended for newborns who develop a total serum bilirubin (TSB) above the phototherapy threshold after discharge. However, such newborns should have the following criteria. Gestational age ≥38 weeks ≥48 hours old Clinically stable with adequate feeding No known risk factors of…
