Influence of changes in the evaluation of neonatal jaundice

Arieh Riskin*, Keren Cohen, Amir Kugelman, Marta Abend-Weinger, Miri Hemo, David Bader

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Objective To study the influence of policy changes in the evaluation of neonatal hyperbilirubinemia on discharge process from the nursery. Changes included early assessment of risk factors by universal umbilical blood sampling for blood type, Coombs test, and glucose-6-phosphate dehydrogenase (G6PD) and universal noninvasive transcutaneous bilirubinometry at discharge. Study Design The 1,569 newborns (≥ 36 weeks' gestation) admitted after the implementation of changes were compared with the 1,822 born before. Results Policy changes improved the diagnosis of G6PD deficiency and ABO incompatibility and decreased the number of referrals from the community for jaundice follow-up. The average number of needlesticks per baby as well as the time required for the analysis of serum bilirubin levels on discharge day decreased. Changes did not significantly increase costs. Conclusion Changes seem to have improved the quality of medical care, including early identification of risk factors and better follow-up of neonatal hyperbilirubinemia with reduction of pain and increased efficiency.

Original languageEnglish
Pages (from-to)203-208
Number of pages6
JournalAmerican Journal of Perinatology
Issue number3
StatePublished - Mar 2014
Externally publishedYes


  • evaluation
  • neonatal jaundice
  • policy changes
  • quality measures
  • risk factors


Dive into the research topics of 'Influence of changes in the evaluation of neonatal jaundice'. Together they form a unique fingerprint.

Cite this