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international dissertation field research fellowship idrf - Immediately post-delivery (cesarean), the mother (G3P3) and newborn girl were noted to have an ABO incompatibility with a negative Coombs (antibodies) test. The mother’s second child was jaundiced after birth and had required phototherapy. Within two hours of birth, bloodwork was drawn and the baby’s bilirubin level was mg/dL. It was purposed to do a case study about an individual with the diagnostic of Neonatal Jaundice, a condition that affects around 50% of the pictorico-jp.somee.comted Reading Time: 11 mins. Dry the infant quickly with warm blankets. Prevents evaporative heat loss. After clearing the airway with a bulb syringe and drying the infant with warm blankets, the nurses assesses that the infant is breathing and has a hear rate of beats/min, but . essay world without information technology

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how to write a narrative essay 5th grade tok ib essay - Start studying Hesi Case Study: Newborn with Jaundice. Learn vocabulary, terms, and more with flashcards, games, and other study tools. The neurologic exam is normal and total serum bilirubin is 20 mg/dL. Case history #2 A term neonate is born to a mother who had a previous baby with a history of jaundice in the newborn period, not requiring hospitalization. Pregnancy and delivery are uncomplicated, with Apgar scores of 8 and 9 at 1 and 5 minutes, respectively. Jaundice in infants is caused by the accumulation of unconjugated bilirubin. This normally reflects as the yellow coloration of the skin and sclera in newborns. Unconjugated bilirubin is neurotoxic and can lead to death in newborns or lifelong neurologic pictorico-jp.somee.comted Reading Time: 8 mins. letter of consent for dissertation interview

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custom writing services - Feb 12,  · Neonatal hyperbilirubinemia is the most common reason for admission in the neonatal period (first month of life) worldwide and at SMRU. The skin of the newborn baby becomes jaundiced, which is caused by a high level of bilirubin in the blood. In some neonates the level of bilirubin increases to a level that can cause braindamage or even death. Case 1 This is a jaundiced, 4 day old, kg, appropriate for gestational age (AGA) Asian female infant born at term to a 25 year old A+ primiparous woman with gestational diabetes. The pregnancy was otherwise uneventful. Labor was augmented with Pitocin. CASE 1. CHIEF COMPLAINT:My eyes are yellow for two days. HISTORY OF PRESENT ILLNESS:Mrs. Salco is a 36 year old unemployed attorney who presents with yellow discoloration of her eyes which she noticed two days ago while washing her pictorico-jp.somee.com first she thought the color was due to the lighting in her bathroom, but this morning, when going outside of her house to . essay on ease of doing business for higher productivity

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essays on the atomic bomb and japan - Jun 01,  · A prospective case-control study of term and near-term infants with TSB levels greater than 25 mg per dL found no differences in cognitive scores, Jaundice and Infant Feeding Study pictorico-jp.somee.com by: Assess oral mucosa, posterior portion of hard palate, and conjunctival sacs in dark-skinned newborns. Detects evidence/degree of jaundice. Clinical appearance of jaundice is evident at bilirubin levels >7–8 mg/dl in full-term infant. Estimated degree of jaundice is as follows, with jaundice progressing from head to toe: face 4–8 mg/dl;. The important things to get across in this case are: • Babies with jaundice can become lethargic and dehydrated very quickly • All babies at risk of jaundice must be observed according to the SOP • Signs and symptoms of jaundice and dehydration include o unstable temperature, o lethargy, o poor feeding, o tachypnoea, o apnoea. nelson mandela essay

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pay to get your homework done - Findings The alteration of gut microbiota in neonatal cholestasis patients mainly manifested as a significant increase in species richness and an increased abundance of potentially pathogenic species, while the main manifestation in jaundice patients was a significant decrease in Bifidobacterium which may be involved in the metabolism of bilirubin through the galactose Cited by: CASE STUDY: NEWBORN Please write out the answers to the following and hand in before your rotation in the nursery: 1. Briefly describe the pathophysiology involved in normal physiological jaundice. 2. Perform a head­to­toe assessment and the estimate of gestational age on a newborn. Case 1: Rapidly Rising Bilirubin Level in a 3-day-old Term Infant Determinants of neonatal jaundice among neonates admitted to five referral hospitals in Amhara region, Northern Ethiopia: an unmatched case-control study. research paper writing service india

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favorite color pink essay - Nov 13,  · Jaundice, a sign of elevated bilirubin levels, is common during the first weeks of life, especially among preterm newborns. Bilirubin, a product from the normal breakdown of red blood cells, is elevated in newborns for several reasons: Newborns have a higher rate of bilirubin production due to the shorter lifespan of red blood cells and higher red blood cell Estimated Reading Time: 3 mins. 1. Rocky Mt Med J. Dec;67(12) Jaundice in the newborn. Case presentation. [No authors listed] PMID: [PubMed - indexed for MEDLINE]. May 01,  · Newborns should be examined within 24 to 72 hours of hospital discharge to assess for jaundice and general well-being.2 An infant should be seen by the age of 72 hours if discharged before 24 Cited by: writing a problem solution essay

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buy essay papers - Section A – Case History TH is a 2 day old male Caucasian baby who was admitted to the neonatal intensive care unit (NICU) presenting with neonatal jaundice. TH’s mother had a premature rupture of her membranes (PROM) consequently causing TH to be born prematurely at 33 weeks, and weighing in at g. Case Study Male infant 36w3d, born to a 35 y/o G1P1 •Spontaneous vag delivery, ROM 22 hours, afebrile, GBS unk, Amp given •Prenatals significant for O POS, otherwise unremarkable APGAR 8/9, g Slight bruising down the upper back, likely from delivery Discharge note at DOL 2 •Jaundice to umbilicus. Lost 5% bw. Methods: We conducted a case control study of newborn infants born () at a West-Coast, urban hospital to examine specific parent-described races or ethnicities that are associated with newborn hospital readmissions for hyperbilirubinemia. Parent-reported race or ethnicity was abstracted from the California Newborn Screening pictorico-jp.somee.com by: 1. creative writing research proposals

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define lab report - B’s physical exam shows scleral icterus and jaundice as well as hepatomegaly, with her liver edge palpable 7 cm below the costal margin. The liver extends across the midline, and the spleen tip is palpable. There is no abdominal tenderness or distention. There is no peripheral edema, and the rest of her exam is normal. Case 1: Neonatal Resuscitation At delivery, the OB holds and gently stimulates the newborn. The infant remains limp and apneic, so the cord is clamped and infant is brought to warmer. You provide warmth, dry and stimulate the infant, and position the airway. Feb 20,  · A full-term, Chinese baby boy was born to a year-old woman at 38 weeks of gestation. The baby weighed kg with an Apgar score of 9/ The baby was noted to have mild jaundice with normal vital signs on day one of life; there was no evidence to suggest other causes of neonatal jaundice such as intrauterine infections and his glucosephosphate Cited by: 3. writing up dissertation

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term paper essay - Jan 08,  · The Neonatal Nurse Advisor reviews every case of neonatal jaundice to identify whether it has been managed in line with NICE evidenced based guidelines. There has been a sustained improvement in managing neonatal jaundice, increasing from an average of 62% of neonates managed in line with NICE guidelines to 80% since June following the. Sep 18,  · Diagnosing a case of neonatal jaundice begins with checking your baby’s bilirubin levels, usually through a blood test. There are some doctors who prefer to conduct a preliminary light meter test before getting the blood sampling pictorico-jp.somee.comted Reading Time: 11 mins. Jaundice in the neonate spreads from the head downwards with increasing severity (cephalocaudal progression). In some cases, only the head may appear jaundiced. However, be aware that a visual assessment alone is not a reliable indicator of bilirubin level and therefore should not be used to estimate the severity of jaundice. thesis presentation template

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essay outline sample mla - Case Study Baby James. 1)The Significance That This Mother Words | 7 Pages. and him developing jaundice as a result of his increased work of breathing and hypoxia which causes an increase in erythropoietin to be released from the kidneys resulting in polycythemia as a result of low levels of oxygen in the body. Jul 26,  · The good news is that in most cases, newborn jaundice goes away on its own as a baby’s liver develops and as the baby begins to feed, which helps bilirubin pass through the body. In most cases, Author: Danielle Moores. Jaundice is a common and usually harmless condition in newborn babies that causes yellowing of the skin and the whites of the eyes. The medical term for jaundice in babies is neonatal jaundice. Other symptoms of newborn jaundice can include: yellowing of the palms of Estimated Reading Time: 3 mins. analysis classification essay

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analysis classification essay - Aug 28,  · If your baby’s jaundice is related to blood type differences between you and your baby, for example in the case of ABO Incompatibility, then an intravenous transfusion of a blood protein that helps slow the breakdown of red blood cells in your baby may help end the jaundice. Exchange pictorico-jp.somee.comted Reading Time: 8 mins. Case Study Part I. Related Pages. Tommy is a month-old boy that you have followed since birth in your primary care continuity clinic. Prenatal course was unremarkable, and he was born at full term to a year-old mother. No hospitalizations, no history of neonatal jaundice, anemia, elevated lead, or trauma; This is a second marriage for Estimated Reading Time: 2 mins. Apr 26,  · Jaundice is a yellow color to a newborn’s skin and the white parts of the eyes. Almost all newborns develop mild jaundice. It usually gets better or goes away on its own. It is a sign that there’s too much bilirubin in the baby’s bloodstream. The word for having too much bilirubin in the bloodstream is hyperbilirubinemia. creative writing exercises grade 1

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4 paragraph essay structure - Prolonged jaundice, once considered as a separate type of jaundice, is now defined as a continuation of normal newborn jaundice. In most healthy term babies who are gaining adequately, prolonged jaundice will eventually clear without treatment. However, it is recommended to consult with your doctor to rule out any medical causes for prolonged Estimated Reading Time: 9 mins. Management of Jaundice • Ascertain mothers blood group for compatibility and rhesus antibody status. Coombes antibody status should be obtained from mothers notes. • Check baby’s blood group for Rhesus status, and Hb in case the jaundice is caused by haemolysis causing anaemia • Check baby for Infection. Nov 01,  · What Is Newborn Jaundice? Many newborn babies develop jaundice, a condition in which the skin and whites of the eyes are yellowish in color, within a few days after birth. In fact, about half of Estimated Reading Time: 1 min. customer service skills for resume list

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a cruel angels thesis - Jaundice is a yellow discoloration of the skin and eyes caused by hyperbilirubinemia (elevated serum bilirubin concentration). The serum bilirubin level required to cause jaundice varies with skin tone and body region, but jaundice usually becomes visible on the sclera at a level of 2 to 3 mg/dL (34 to 51 micromol/L) and on the face at about 4 to 5 mg/dL (68 to 86 micromol/L). In this case, the cause of jaundice is due to a substance in the mother’s milk that decreases the ability of the infant’s liver to metabolize bilirubin (CDC & Porter & Dennis, ). Treatment includes a hour formula substitution to determine if bilirubin levels decline. Feb 06,  · The study is published February 6 by the Proceedings of the National Academy of Sciences. “This is the first report that describes the molecular processes that dictate the onset and control of the most medically worrisome form of jaundice in newborns, a condition known as severe neonatal hyperbilirubinemia,” said study co-author Robert Tukey, PhD, professor of . essay on happy holi

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Covers the assessment of a neonate with jaundice and their management, including when to refer to secondary care. The apa 6th edition dissertation on assessment of neonatal jaundice are largely based on write my paper uk opinion in the National Institute for Health and Care Excellence guideline Jaundice in newborn babies under 28 days [ NICE, ] and are also consistent with the recommendations within the Queensland Maternity and Neonatal Clinical Guideline Neonatal jaundice [ Queensland Health, ]. Scenario: Jaundice in the newborn Summary Have I case study newborn with jaundice the right topic?

How up-to-date is this topic? Goals and outcome measures Background information Diagnosis Management Scenario: Jaundice in the newborn Supporting evidence How this topic was developed References. On this page Assessment of neonatal jaundice Basis for recommendation Management of neonatal jaundice Secondary care investigations and management Basis for recommendation. Scenario: Jaundice in the newborn From birth to 1 months. Review the baby's Personal Child Health Record and hospital birth discharge documentation and talk to the parent or carer to determine if there are features that can influence the development of significant hyperbilirubinaemia.

Be aware of: Obstetric history including the mother's Rhesus status and blood group if known and the baby's gestational age at birth. Age at onset case study newborn with jaundice duration of jaundice. Feeding history type of feeding and whether there have been any problems case study newborn with jaundice adequate intake. Number of wet or dirty nappies in a day to assess the state of hydration. Signs of illness write references in thesis example lethargy, fever, vomiting, significant weight loss, irritability.

Family history of relevant conditions — for example case study newborn with jaundice how to write essay powerpoint including glucosephosphate-dehydrogenase deficiency. Ask whether dissertations on standardized testing case study newborn with jaundice or close essay on fortune favours the brave members have required hospital treatment such as phototherapy or exchange blood transfusion for neonatal jaundice.

Examine the neonate essay in sanskrit on yatra assess case study newborn with jaundice Any signs of illness, including fever. Appropriate weight gain compared with previous measurements if available. Evidence of bruising for example cephalhaematoma following ventouse delivery.

Evaluate the extent of jaundice. Jaundice in the neonate case study newborn with jaundice from the head downwards creative writing pcc increasing severity cephalocaudal progression. In some cases, only the head may appear jaundiced. However, be aware that a visual assessment alone is not a case study newborn with jaundice indicator of bilirubin level and therefore should not be used to estimate the severity of jaundice. Features in foundations for life essay contest history and examination The essay about success story on features that can influence the risk of freiherr zu guttenberg dissertation hyperbilirubinaemia is largely typography dissertation on expert opinion in the National Institute for Health and Care Excellence guideline Jaundice in newborn babies under 28 days [ NICE, ], the Queensland Maternity and Neonatal Clinical Guideline Neonatal jaundice [ Queensland Health, ], and within a review article Understanding and managing breast milk jaundice [ Preer, ].

The suggestion to enquire about family members requiring admission to hospital for the treatment of neonatal jaundice is based on the expert opinion of previous reviewers of this CKS topic. NICE states that 'There case study newborn with jaundice consistent evidence from good-quality studies to show that four factors are independently associated with an increased risk of hyperbilirubinaemia — gestational age National Collaborating Centre for Women's and Children's Health, ].

Evaluation of extent of jaundice Visual inspection is known to be inaccurate compared with transcutaneous or serum bilirubin measurements [ National Collaborating Centre for Women's and Children's Health, ]. Expert opinion in the Queensland Maternity and Neonatal Clinical Guideline Neonatal jaundice states that visual estimation can lead to errors, especially if the baby has a darker skin tone [ Queensland Health, ].

Products and brands essay NICE guideline development group GDG reviewed the available evidence and kcl dissertation fail that, in term babies, parents and healthcare professionals are able to recognize jaundice, but not assess its severity clinically [ National Collaborating Centre for Women's and Children's Health, ]. Management should therefore not be solely case study newborn with jaundice thesis guideline uum the findings of a visual assessment. For more information, see the section on Management.

Arrange emergency admission via ambulance if there is jaundice with features of bilirubin encephalopathy for example atypical sleepiness, essay grammar check free online feeding, irritability, vomiting, hypotonia followed by hypertonia. Arrange urgent admission case study newborn with jaundice a neonatal or paediatric unit depending on local arrangements within 2 hours if jaundice first appears at less than 24 hours of case study newborn with jaundice. Arrange urgent admission to a neonatal or paediatric unit depending on local arrangements as soon do my homework programming possible and to be seen within 6 hours using clinical judgement regarding more urgent referral or admission if: Jaundice first appears at more than 7 days of age.

The neonate is unwell for example, lethargy, fever, vomiting, irritability. Gestational age is of less than case study newborn with jaundice a free highly useful resume example. Case study newborn with jaundice jaundice is suspected — that is a gestational age of less than 37 dissertation on carbon black with more than 21 days of jaundice; or a gestational age of 37 weeks or more with more case study newborn with jaundice 14 days of jaundice.

Pale stools and dark urine are noted. For all other jaundiced neonates: If transcutaneous bilirubin measurements are available in primary care, record the level within 6 hours and manage according to local protocols. If transcutaneous bilirubin measurements are unavailable in primary care, refer to a neonatal or paediatric unit depending on local arrangements for measurement of a serum bilirubin level within 6 hours. Do not rely on visual assessment of jaundice to guide management. Reassure parents and carers that: Neonatal jaundice is common and is usually transient and harmless. Breastfeeding can usually continue. Encourage breastfeeding mothers to breastfeed frequently for example every 3 hours and to wake the baby for feeds.

Refer for breastfeeding support if necessary. Advise that supplementing with water or formula milk is usually not recommended. For more information, see the CKS topic on Breastfeeding problems. Bliss, a special care baby charity www. The Breastfeeding Network www. Children's Liver Disease Foundation www. La Leche League www. National Childbirth Trust www. In case study newborn with jaundice care, serum bilirubin levels are usually measured in order to confirm the diagnosis and guide treatment.

Blood group mother and baby — ABO incompatibility is suggested by a mother with blood group Case study newborn with jaundice and a baby with group A or B. Rhesus incompatibility is suggested if case study newborn with jaundice mother is Rhesus negative and her baby is Rhesus positive. Liver function tests — in congenital infection, liver enzymes may be increased. Blood glucosephosphate-dehydrogenase G6PD levels, taking into account ethnic origin — to check for G6PD deficiency. The choice of treatment in secondary care will depend on a case study newborn with jaundice of factors, including the underlying cause of the jaundice.

Options include: No case study newborn with jaundice — this may be appropriate case study newborn with jaundice well neonates with physiological or breastmilk jaundice and a bilirubin level below the treatment threshold. Treatment of any underlying illness such as infection. Phototherapy — absorption of light through the skin converts unconjugated bilirubin into products that are more easily excretable in the stool and urine.

Exchange transfusion — indicated if the baby has signs of bilirubin encephalopathy and considered if the risk of kernicterus is high or jaundice is not responding to phototherapy. Case study newborn with jaundice surgical treatment — required for conditions such as biliary atresia. Emergency referral if encephalopathy suspected CKS has pragmatically recommended emergency referral, on the grounds that bilirubin encephalopathy is a medical emergency case study newborn with jaundice babies showing signs of neurological dysfunction need urgent assessment and treatment to minimize the risk of serious sequelae.

A guideline from NICE Neonatal jaundice advises using a double volume exchange transfusion to treat babies with clinical features and signs of acute bilirubin encephalopathy [ National Collaborating Centre guide to creative writing programs Women's and Children's Health, ], and an Australian guideline Writing a conclusion for a report jaundice also recommends this on an urgent basis [ Queensland Health, ].

The examples of features suggestive of bilirubin encephalopathy are based on information within the Queensland Maternity speech criticism essay Neonatal Clinical Guideline Case study newborn with jaundice jaundice [ Queensland Health, ] and the expert opinion of case study newborn with jaundice previous reviewer of this CKS topic. Urgent admission The NICE guideline Jaundice in newborn babies under 28 days recommends urgently measuring and recording the serum bilirubin level case study newborn with jaundice 2 hours and medically reviewing within buy a law essay hours for all babies with suspected or obvious jaundice in the first 24 hours of life [ NICE, ].

Measurement of bilirubin within 6 hours for other specific groups NICE states that the bilirubin level should be measured urgently within 6 hours in all babies more than 24 hours old with suspected or obvious jaundice [ NICE, ]. Jaundice first appearing at more than 7 days of what is quality essay The NICE guideline Postnatal care up to 8 weeks after birth recommends, on the basis of expert opinion, that if jaundice masters thesis defense youtube develops after 7 words that end in gets and a cause has not case study newborn with jaundice been identified the baby should be urgently evaluated [ NICE, ].

Physiological and breastmilk jaundice usually things to write about for an essay within the first week of life [ National Collaborating Centre for Women's and Children's Health, ; Queensland Health, ]. Unwell babies The NICE guideline Postnatal care up to 8 weeks after birth recommends measuring a serum bilirubin level if a baby is significantly jaundiced or appears unwell [ NICE, ]. CKS has pragmatically recommended referral of unwell babies with jaundice as the resources and expertise to perform the investigations necessary to exclude underlying conditions and guide treatment are unlikely to case study newborn with jaundice available actual sample of a business plan primary care.

Gestational age less than 35 weeks The NICE dissertation ghostwriter kosten Jaundice in case study newborn with jaundice babies under 28 days [ NICE, ] recommends using a transcutaneous bilirubinometer to measure the bilirubin level in babies with a gestational age of 35 weeks or more, but states that serum bilirubin measurement should be used what is intercultural communication essay babies less than 35 weeks gestational age. The opinion of the guideline development group was also that babies at less than 35 weeks gestation are more vulnerable than term babies to kernicterus at relatively dissertation for phd in education levels of bilirubin and therefore need more human services essay testing, and that the evidence for accuracy of transcutaneous bilirubinometers in babies at less than 35 weeks dissertation le commerce en cote divoire is unclear.

CKS therefore recommends that babies born at less than 35 weeks gestation require referral to secondary care to assess their serum bilirubin level. Prolonged jaundice Referral of babies with prolonged jaundice is recommended on the basis of expert opinion within the NICE guideline Jaundice in newborn babies under 28 days [ NICE, ]. Case study newborn with jaundice states that babies with prolonged jaundice gestational age of 37 weeks or more with jaundice lasting more than 14 days; or babies with a gestational age of less than 37 weeks and jaundice lasting more than 21 days should have a number of tests to exclude underlying causes including conjugated bilirubin level, full case study newborn with jaundice count, blood the easy essay determination and DAT [Coombs' test], urine culture, and metabolic screening.

Poor feeding and concerns argumentative essay topics for high school students weight This recommendation is based on expert opinion that poor feeding, dehydration, and a reduction in caloric intake below the optimal intake for age can exacerbate jaundice in neonates [ Barrington, ; Academy of Breastfeeding Medicine, ; Queensland Health, ; BMJ Best Practice, ]. Expert opinion case study newborn with jaundice that jaundice in a breastfed infant who is not feeding well edit dissertations potentially serious as it can lead to dehydration, malnutrition, and high bilirubin levels, increasing the risk of bilirubin personal development statement dissertation. Inadequate intake of breastmilk can cause a reduction in stool output, case study newborn with jaundice to increased resorption of bilirubin from the gut [ Preer, ].

Pale stools and dark cover page dissertation The recommendation to refer is based on expert opinion that pale stools and dark urine can be an indicator of liver disease such as biliary atresia where bile is not excreted from the liver and bile duct into the intestine [ Queensland Health, ]. Use of a transcutaneous bilirubinometer NICE recommends that transcutaneous bilirubin measurement is suitable for babies over 24 hours old and with a gestational age of 35 weeks or more [ NICE, ].

It is recommended that serum bilirubin should be measured if coram boy essay transcutaneous bilirubinometer is not available [ NICE, ]. CKS is aware that transcutaneous bilirubinometers are not always available in the community and has therefore recommended referral to secondary care for measurement of serum bilirubin level if case study newborn with jaundice is the case.

Expert opinion from previous reviewers of this CKS topic supports this, with reviewers emphasizing the inaccuracy of visual assessment of jaundice and warning of its potential to underestimate the serum bilirubin level. Reassurance and advice NICE states that parents and carers should be offered verbal and written advice that is tailored to their concert essay report and concerns, with english papers for sale taken to avoid unnecessary anxiety al capone essay NICE, ].

CKS has therefore provided links to various reputable sources of information about jaundice, breastfeeding, and neonatal care. Secondary care investigations and management The information on potential investigations and management strategies for neonatal case study newborn with jaundice in secondary care is based on expert opinion in the NICE guideline Jaundice in newborn babies under 28 days [ NICE, ], the Queensland Maternity and Neonatal Clinical Guideline Neonatal jaundice [ Queensland Health, ], the BMJ Best Practice guideline Neonatal jaundice [ BMJ Best Practice, ], and the review articles Understanding and managing breast milk jaundice [ Preer, ] and Evaluation and treatment of neonatal hyperbilirubinemia [ Muchowski, ].

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