Neonatal Hyperbilirubinemia Learning and Decisionmaking Tool

Instructions: To use this page, enter data about your baby in the first section, then scroll down to read the recommendations in the second section. Scroll down again to see a graph.




Data Entry Section

Birth date:

Table of Bilirubin values and respective times of measurement
Date and TimeBilirubin ValueJaundice?
Check all applicable major risk factors:










Minor risk factors:
Breastfeeding, use of oxytocin/diazepam peripartum, ethnicity Asian or Native American, Gestational Diabetes, Group B Streptococcus test positive or unknown, poor feeding, birth trauma (cephalohematoma, instrument delivery), male gender, prior sibling with jaundice.



Results Section

Hours of Life now:

Table Summarizing Data and Recommendations
Hours of LifeBilirubin ValueJaundicePhototherapyRisk CategoryRecommendationsAAP Guideline




Graph Section

Phototherapy Treatment Decision Graph
Phototherapy Treatment Decision Graph
Risk Category Nomogram
Risk Category Nomogram



References & Credits

  1. VK Bhutani, Predictive Ability of a Predischarge Hour-specific Serum Bilirubin for Subsequent Significant Hyperbilirubinemia in Healthy Term and Near-term Newborns
  2. AAP Guideline: Management of Hyperbilirubinemia in the Newborn Infant 35 or More Weeks of Gestation
  3. Rubaltelli, Transcutaneous Bilirubin Measurement: A Multicenter Evaluation of a New Device
  4. www.bilitool.org for original idea and model for this website.
  5. Dr. Tom Balsbaugh, Director of Family and Community Medicine, University of California, Davis
Please send me feedback! bili@shomir.org
last update 04/07/09