An app for assessing neonatal jaundice? You bet!A study of the accuracy of a technology for assessing jaundice in outpatient neonates based on analysis of digital images demonstrated that this smartphone application (app) may be useful for screening newborns for jaundice.
When to look harder at jaundiceEven though most babies with jaundice have uncomplicated jaundice, 18% of them will have their course complicated by hemolysis.
Hemolytic disease in ABO-incompatible preterm infantsA study looks at the incidence of hemolytic reactions in preterm newborns.
Predicting hyperbilirubinemia in babiesNewborn babies are more likely to develop jaundice requiring treatment if they have significant hemolysis contributing to their bilirubin levels (ie, bruising, ABO blood group incompatibility, glucose-6-phosphate dehydrogenase [G6PD] deficiency).
Is “breast milk jaundice” the correct diagnosis?Clinicians should refrain from making a diagnosis of “breast milk jaundice” because it is often inappropriate, results in unnecessary discontinuation of breastfeeding, and by delaying accurate identification of the etiology for the symptom, may expose the child to undue risk of severe neonatal hyperbilirubinemia.
Delayed clamping won’t harm mothers, benefits infantsThe common practice of clamping an umbilical cord within a minute of birth to reduce the possibility of maternal hemorrhaging may need to be revised, according to a new paper published in The Cochrane Database of Systematic Reviews. The study authors searched the Cochrane Pregnancy and Childbirth Group’s Trials Register to find 15 trials involving a total of 3911 mother and infant pairs. The risk of bias in the trials was considered by the paper’s authors to be moderate in nature.