Newborn Hyperbilirubinemia Assessment

 

Input
 

Infant Age		Days Hours
Total Bilirubin		mcmol/L mg% mg/dL
Clinical Risk Group	Group 1: Gestation >=38 weeks and medically well
	Group 2: Gestation >=38 weeks and clinical risk factors
	Group 2: Gestation 35 to 37.9 weeks and medically well
	Group 3: Gestation 35 to 37.9 weeks and clinical risk factors

 

Results
 

 

 

 

 

Notes

• Results are not available for infants greater than 6 days of age or less than 12 hours of age.
• Clinical risk factors include
  • Isoimmune hemolytic disease
  • G6PD deficiency
  • Asphyxia
  • Lethargy
  • Unstable temperature
  • Sepsis
  • Acidosis
  • Albumin less than 3 gm/L, when considering phototherapy

 

References

1. Bhutani VK, Johnson L, Sivieri EM. Predictive ability of a predischarge hour-specific serum bilirubin for subsequent significant hyperbilirubinemia in healthy term and near-term newborns. Pediatrics. 1999 Jan; 103:6-14. PubMed ID: 9917432
2. American Academy of Pediatrics Subcommittee on Hyperbilirubinemia. Management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation. Pediatrics. 2004 Jul;114(1):297-316. PubMed ID: 15231951