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American Academy of Pediatrics guidelines for detecting neonatal hyperbilirubinaemia and preventing kernicterus
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  • Published on:
    Author's reply to Maisels

    Dear Editor

    I thank Dr Maisels for his comments. I agree that pre-discharge serum bilirubin measurement in newborn infants can predict with reasonable sensitivity the risk of later significant hyperbilirubinaemia. Given the rarity of extreme hyperbilirubinaemia and associated encephalopathy, however, the numbers of infants studied in the papers cited by Dr Maisels are too small to determine whether universal pre-d...

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    Conflict of Interest:
    None declared.
  • Published on:
    AAP Guidelines for detecting neonatal hyperbilirubinemia and preventing kernicterus

    Dear Editor

    In his commentary on the recent American Academy of Pediatrics Guidelines for the management of neonatal hyperbilirubinemia [1] Dr Manning notes that the "British system of midwifery based universal surveillance of recently discharged infants should not be abandoned" and I enthusiastically endorse this view. The AAP recommendations for follow-up are quite specific – any infant who is discharged before a...

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    Conflict of Interest:
    None declared.