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
Y1 - 2013/1
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
SN - 1877-573X
VL - 5
SP - 17
EP - 23
JO - Osteopathic Family Physician
JF - Osteopathic Family Physician
IS - 1
ER -