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Pathological jaundice in newborn skin#

It is a sign of NEONATAL HYPERBILIRUBINEMIA.

Pathological jaundice in newborn skin#

Yellow discoloration of the SKIN MUCOUS MEMBRANE and SCLERA in the NEWBORN.

In a minority of cases it is classified as non-physiologic, appearing in the first twenty four hours after birth, and is associated with underlying diseases including hemolytic disorders, polycythemia, and cephalohematoma. In the majority of cases, it appears in the first week of life and is classified as physiologic due to accelerated destruction of erythrocytes and liver immaturity. Jaundice that appears during the neonatal period.

Do not rely solely on appearance of Jaundice as a screening indication (misses cases of severe Hyperbilirubinemia).

Neonatal Jaundice that is difficult to assess on exam.

Neonatal Jaundice that appears excessive (e.g.

Neonatal Jaundice in the first 24 hours.

Increases Phototherapy rates without evidence that it decreases the risk of Bilirubin Encephalopathy.

annually to prevent a single case of Kernicterus

Often part of hospital directed universal screening (e.g.

See Risk Score for Neonatal Hyperbilirubinemia (score of 8 or more indicates testing).

Obtain Neonatal Bilirubin based on risk (preferred method).

Obtain Transcutaneous Bilirubin or Serum Bilirubin.

Moyer (2000) Arch Pediatr Adolesc Med 154:391-4.Confirming observation with transcutaneous or Serum Bilirubin is preferred.Visual inspection alone has low Test Sensitivity (misses cases of severe Hyperbilirubinemia).Visually inspect skin with Vital Signs (at least every 8 hours).