Phototherapy Treatment Decision Graph
Risk Category Nomogram
Hours of Life:
(
)
Transcutaneous or Serum Bilirubin value
(mg/dL)
:
Birth date:
Table of Bilirubin values and respective times of measurement
Date and Time
Hours of Life
Bilirubin Value
Jaundice?
Phototherapy?
Risk Category
Recommendations
AAP Reference
Major risk factors:
35 to 37+6/7weeks
hemolytic disease (ABO/Rh incompatibility, hemoglobinopathy, polycythemia)
temperature instability
lethargy
acidosis
sepsis
asphyxia
albumin < 3.0g/dL
G6PD
other
(sick-appearing neonate or multiple minor 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.
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.
