An osteopathic approach to reduction of readmissions for neonatal jaundice

Rachel Click, Julie L Dahl-Smith, Lindsay Fowler, Jacqueline Marguerite DuBose, Margi Deneau-Saxton, Jennifer Herbert

Research output: Contribution to journalReview article

7 Citations (Scopus)

Abstract

Jaundice is a potentially life-threatening condition that continues to affect at-risk newborns, accounting for continued hospital readmissions. As family physicians, we should be cognizant of neonates who may be at risk for jaundice, including those with pathologic jaundice as well as newborns of breastfeeding mothers, and ensure sufficient intervention is taken to help prevent further elevations in bilirubin levels. Interventions are likely to include evaluation for sepsis, education regarding feeding frequencies for both breast- and bottle-fed neonates, reviewing maternal and hematologic risk factors for neonatal jaundice, and considering inborn errors of metabolism. An additional measure family physicians may consider is that of neonatal massage for those with elevated bilirubin levels. Neonatal massage, though not widely used, has been proven to promote excess bilirubin excretion, thus decreasing length of hospital stay; all the while, providing an intervention that allows parents to take an active role.

Original languageEnglish (US)
Pages (from-to)17-23
Number of pages7
JournalOsteopathic Family Physician
Volume5
Issue number1
DOIs
StatePublished - Jan 1 2013

Fingerprint

Neonatal Jaundice
Jaundice
Bilirubin
Newborn Infant
Massage
Family Physicians
Length of Stay
Mothers
Patient Readmission
Inborn Errors Metabolism
Breast Feeding
Sepsis
Breast
Parents
Education

Keywords

  • Breastfeeding
  • Hyperbilirubinemia
  • Jaundice
  • Neonatal massage
  • Prevention

ASJC Scopus subject areas

  • Family Practice

Cite this

An osteopathic approach to reduction of readmissions for neonatal jaundice. / Click, Rachel; Dahl-Smith, Julie L; Fowler, Lindsay; DuBose, Jacqueline Marguerite; Deneau-Saxton, Margi; Herbert, Jennifer.

In: Osteopathic Family Physician, Vol. 5, No. 1, 01.01.2013, p. 17-23.

Research output: Contribution to journalReview article

Click, Rachel ; Dahl-Smith, Julie L ; Fowler, Lindsay ; DuBose, Jacqueline Marguerite ; Deneau-Saxton, Margi ; Herbert, Jennifer. / An osteopathic approach to reduction of readmissions for neonatal jaundice. In: Osteopathic Family Physician. 2013 ; Vol. 5, No. 1. pp. 17-23.
@article{1588a961d0ca469bb1aa5501b30a805e,
title = "An osteopathic approach to reduction of readmissions for neonatal jaundice",
abstract = "Jaundice is a potentially life-threatening condition that continues to affect at-risk newborns, accounting for continued hospital readmissions. As family physicians, we should be cognizant of neonates who may be at risk for jaundice, including those with pathologic jaundice as well as newborns of breastfeeding mothers, and ensure sufficient intervention is taken to help prevent further elevations in bilirubin levels. Interventions are likely to include evaluation for sepsis, education regarding feeding frequencies for both breast- and bottle-fed neonates, reviewing maternal and hematologic risk factors for neonatal jaundice, and considering inborn errors of metabolism. An additional measure family physicians may consider is that of neonatal massage for those with elevated bilirubin levels. Neonatal massage, though not widely used, has been proven to promote excess bilirubin excretion, thus decreasing length of hospital stay; all the while, providing an intervention that allows parents to take an active role.",
keywords = "Breastfeeding, Hyperbilirubinemia, Jaundice, Neonatal massage, Prevention",
author = "Rachel Click and Dahl-Smith, {Julie L} and Lindsay Fowler and DuBose, {Jacqueline Marguerite} and Margi Deneau-Saxton and Jennifer Herbert",
year = "2013",
month = "1",
day = "1",
doi = "10.1016/j.osfp.2012.09.005",
language = "English (US)",
volume = "5",
pages = "17--23",
journal = "Osteopathic Family Physician",
issn = "1877-573X",
publisher = "Elsevier Inc.",
number = "1",

}

TY - JOUR

T1 - An osteopathic approach to reduction of readmissions for neonatal jaundice

AU - Click, Rachel

AU - Dahl-Smith, Julie L

AU - Fowler, Lindsay

AU - DuBose, Jacqueline Marguerite

AU - Deneau-Saxton, Margi

AU - Herbert, Jennifer

PY - 2013/1/1

Y1 - 2013/1/1

N2 - Jaundice is a potentially life-threatening condition that continues to affect at-risk newborns, accounting for continued hospital readmissions. As family physicians, we should be cognizant of neonates who may be at risk for jaundice, including those with pathologic jaundice as well as newborns of breastfeeding mothers, and ensure sufficient intervention is taken to help prevent further elevations in bilirubin levels. Interventions are likely to include evaluation for sepsis, education regarding feeding frequencies for both breast- and bottle-fed neonates, reviewing maternal and hematologic risk factors for neonatal jaundice, and considering inborn errors of metabolism. An additional measure family physicians may consider is that of neonatal massage for those with elevated bilirubin levels. Neonatal massage, though not widely used, has been proven to promote excess bilirubin excretion, thus decreasing length of hospital stay; all the while, providing an intervention that allows parents to take an active role.

AB - Jaundice is a potentially life-threatening condition that continues to affect at-risk newborns, accounting for continued hospital readmissions. As family physicians, we should be cognizant of neonates who may be at risk for jaundice, including those with pathologic jaundice as well as newborns of breastfeeding mothers, and ensure sufficient intervention is taken to help prevent further elevations in bilirubin levels. Interventions are likely to include evaluation for sepsis, education regarding feeding frequencies for both breast- and bottle-fed neonates, reviewing maternal and hematologic risk factors for neonatal jaundice, and considering inborn errors of metabolism. An additional measure family physicians may consider is that of neonatal massage for those with elevated bilirubin levels. Neonatal massage, though not widely used, has been proven to promote excess bilirubin excretion, thus decreasing length of hospital stay; all the while, providing an intervention that allows parents to take an active role.

KW - Breastfeeding

KW - Hyperbilirubinemia

KW - Jaundice

KW - Neonatal massage

KW - Prevention

UR - http://www.scopus.com/inward/record.url?scp=84872584084&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84872584084&partnerID=8YFLogxK

U2 - 10.1016/j.osfp.2012.09.005

DO - 10.1016/j.osfp.2012.09.005

M3 - Review article

AN - SCOPUS:84872584084

VL - 5

SP - 17

EP - 23

JO - Osteopathic Family Physician

JF - Osteopathic Family Physician

SN - 1877-573X

IS - 1

ER -