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 Scopus citations

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
Publication statusPublished - Jan 1 2013

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Keywords

  • Breastfeeding
  • Hyperbilirubinemia
  • Jaundice
  • Neonatal massage
  • Prevention

ASJC Scopus subject areas

  • Family Practice

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