To: baggo who wrote (572 ) 12/10/1997 8:25:00 PM From: JanyBlueEyes Read Replies (2) | Respond to of 5736
From exchange2000.com - listed on the CCSI Research Page .....To start with there are two populations of infants requiring different monitoring standards of bilirubin infant jaundice-.Full term and premature. According to World Health Organization_published figures approximatley 4,000,000 babies are born per year and approximately 10% of babies are born premature.This equals 3,600,000 full term,and 400,000 premature. "There are no simple solutions to the management of jaundiced neonates. Continuing uncertainties about the relationship between serum bilirubin levels(TSB) and brain damage as well as differences in patient population and practice settings contribute to variations in the management of hyperbilirubinemia.Additionally early postpartum discharge from the hospital further complicates the management of jaundiced newborns,because it places additional responsibilities on parents or guardians to recognize and quickly respond to developing jaundice or clinical symptoms". '"RECOMMENDATIONS: The following recommendations were developed by the American Academy of Pediatrics to aid in the evaluation and treatment of the healthy term infant for hyperbilirubinemia.(1) When family history,ethnic,geographic origin or the appearance of jaundice occurs TSB laboratory assessment on the infant should be performed.A TSB level needs to de determined in infants noted to be jaundiced in the first 24 hours of life and followup should be provided to all neonates discharged less than 48 hours after birth by a health care professional in an office,clinic or at home". .....Nearly all premature infants are monitored extensively for hyperbilirubinemia.According to MEDICAL SYSTEMS DATA STUDY "the average length of monitoring in the hospital is 11 days and the average number of TSB tests is 3 per day.The recommended treatment of phototherapy for premature infants is well under 12 mg/dl of TSB." Jane CCSI Research Page - Historical & Up To Date Company Information : Click here > Message 2853566