Aim: To determine the current management of early neonatal jaundice in the UK and to evaluate whether the current practices are evidence based.
Methods: A questionnaire survey was carried out among identified lead paediatricians of neonatal intensive care units.
Results: The survey found markedly differing practices for the recognition, investigation and treatment of neonatal jaundice. This applies particularly to confirmation of the clinical suspicion of jaundice; use of invasive and non-invasive technologies for diagnosis; preferred wavelength and intensity of light used for treatment; and whether birth weight, gestational age and postnatal age should influence treatment.
Conclusion: The study found a lack of consistency in the management of jaundiced infants in the UK. The evidence-based practice currently available does not appear to have been incorporated into treatment protocols.
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