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- W4254199969 abstract "Until such time as safe preventative pharmacological therapies evolve, jaundice will remain the most common clinical sign in the newborn. Advances in the antenatal management of rhesus disease, the effectiveness of phototherapy in preterms, and a gentler approach to the jaundiced term infant have made the need for exchange transfusion a rarity. This does not, however, mean that we can all relax. The yellow peril still exists! The current trend towards earlier postnatal discharge has meant that most babies develop their jaundice at home. It is, therefore, the responsibility of hospital midwives and paediatricians to identify newborns at heightened risk of significant jaundice, and for health professionals in the community to be alert to features suggestive of pathology. Good communication between community midwives, health visitors, general practitioners and the paediatric unit is essential, with an established system for referring babies back to hospital for assessment. Until such time as safe preventative pharmacological therapies evolve, jaundice will remain the most common clinical sign in the newborn. Advances in the antenatal management of rhesus disease, the effectiveness of phototherapy in preterms, and a gentler approach to the jaundiced term infant have made the need for exchange transfusion a rarity. This does not, however, mean that we can all relax. The yellow peril still exists! The current trend towards earlier postnatal discharge has meant that most babies develop their jaundice at home. It is, therefore, the responsibility of hospital midwives and paediatricians to identify newborns at heightened risk of significant jaundice, and for health professionals in the community to be alert to features suggestive of pathology. Good communication between community midwives, health visitors, general practitioners and the paediatric unit is essential, with an established system for referring babies back to hospital for assessment." @default.
- W4254199969 created "2022-05-12" @default.
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- W4254199969 date "1997-06-01" @default.
- W4254199969 modified "2023-10-18" @default.
- W4254199969 title "Neonatal jaundice" @default.
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- W4254199969 doi "https://doi.org/10.1016/s0957-5839(97)80183-2" @default.
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