NPMT

Tutorial

Neonatal Jaundice

Introduction

Neonatal jaundice is a very common issue that can be a bit intimidating when confronted with for the first time. A key thing to remember is that it can be a perfectly normal response in a neonate as discussed in this handout. However, there are some important pathological differentials to be aware of. This tutorial will cover some of the more important ones, as well as common treatment options.

Content Contributors:

Author: Dr Mark William

CONTENT APPROVAL: Dr Ahmed Khan
EDITOR: Dr Sahani Jayawardane

Version History Version
Version 1 – June 2021

  • It requires 1 hour preparation.

  • It can be taught in 1.5 hours

Teaching approach

As with all modules, familiarise yourself with the NPMT principles.

session learning objectives:

  • Identify different types of newborn jaundice

  • Understand physiology of bilirubin formation, metabolism and excretion

  • Understand risk factors for neonatal jaundice

  • Recognise haemolytic jaundice in newborns

  • Recognise G6PD deficiency

  • Familiarise with TCB + SBR charts

  • Understand management of neonatal jaundice

  • Understand acute bilirubin encephalopathy and kernicterus

Tips & Tricks on running an effective session:

  • A Powerpoint slideshow is provided to go with this handout – it is picture based, and is meant to graphically show key points as indicated.

  • Recap at the end of each aim the key learning points before moving on to the next topic.

  • Use SBR charts provided from AAP and NSW Health to show how the line changes depending on gestational age, and practice plotting them.

  • Stress the importance of picking up jaundice early to prevent kernicterus – that is a uniquely neonatal concern that is mostly preventable in this day and age.

  • Introduce students to the NSW Health protocol on Jaundice – it is comprehensive and a good teaching tool to refresh knowledge

Download resources:

  • Curriculum pack

  • Powerpoint

  • NSW Health Guidelines: Neonatal – Jaundice Identification and Management in Neonates >= 32 Weeks Gestation

    • https://www1.health.nsw.gov.au/pds/ActivePDSDocuments/GL2016_027.pdf

  • RCH Clinical Guidelines: Jaundice in Early Infancy

    • https://www.rch.org.au/clinicalguide/guideline_index/Jaundice_in_early_infancy