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Newborn Jaundice: Guidelines for Postpartum Management
1. Before 24 hours: the midwife should advise parents to consult pediatrician.
2. Mild Jaundice (involving face, neck, and chest to umbilicus).
a. Frequent nursing.
b. Sunbaths or full spectrum lights.
c. Watchful waiting.
d. Encourage passage of meconium.
3. Moderate Jaundice (involving face, neck, chest and extremities), advise:
a. All of the above.
b. Assess infant behavior and arousal state.
c. If abnormal, check bilirubin level every 12 to 24 hours as indicated and consult back-up.
4. Severe Jaundice (involving entire newborn, including sclera, soles of feet, palms of hands), the midwife and/or mother should consult with the newborn's health care provider.
MoonDragon's Pediatric Information - Neonatal Jaundice
MoonDragon Birthing Guidelines - Postpartum Variations
