Template:Neonatal jaundice evaluation

  • The most important component of the workup is differention of direct vs indirect bilirubinemia
  • See BiliTool and the phototherapy guide for total bilirubin cutoff by age recommendations
  • History extremely important
    • Mother's blood type (important if mother is RH negative or O blood type)
    • Assess for any signs of decreasing oral intake or signs of dehydration?
    • Baby's general appearance (well appearing?)
  • Total bilirubin/Direct bilirubin levels
  • CBC (for evaluation of hemolytic anemia or polycythemia vera)
  • Consider coombs or T&S (mom & baby)