Yong Loo Lin School of Medicine

Approach to Neonatal Jaundice (NNJ) Phase V 2012

Yong Loo Lin School of Medicine

Important Objectives
Review epidemiology and patho-physiology of neonatal jaundice with particular reference to Singapore Take a focused history, perform focused physical examination, and order appropriate laboratory tests for patients with NNJ Institute appropriate management for a patient with NNJ Recognize role of good feeding and nutrition in the prevention and management of NNJ Counsel family with regards to prevention of severe neonatal jaundice

Yong Loo Lin School of Medicine

Approach to a Jaundiced Neonate

Is the jaundice physiological or non-physiological? If non-physiological how severe is the jaundice? Does it warrant investigations and/or admission? What is the likely etiology? Is there a co-existing illness? (e.g. infection, dehydration) Is there any evidence of encephalopathy? How should the baby be followed up after hospital discharge? How do I counsel parents to prevent jaundice?

Yong Loo Lin School of Medicine

Pre-reading
Review the slides on breast-feeding and NNJ from Phase III Nelson Textbook of Pediatrics