Jaundice
Amy and Jen talk about something we see and manage all the time, but as we always find there is more to it than meets the eye! We discuss definitions and different forms of jaundice in terms of the underlying mechanism, red flags and risk factors, assessment including how to spot jaundice in darker skin tones (and some promising new tech to help with this!), how to judge severity and what your management plan should be. We also talk a lot about feeding issues - as is to be expected with this topic. The episode would pair really well with our top-ups episode where Jen puts her IBCLC hat on to give us loads of detail on how to supplement a baby who is struggling to transfer enough milk at the breast, if you wanted to check that one out too the link is in the resources section below. We also discuss some International differences with the management and response to jaundice and wonder whether there are lessons we can learn from other places in the world. We always love to hear from you - please do get in touch with any comments or suggestions by email iamahealthvisitor@gmail.com. You can also send us your funny anecdotes for our Christmas episode to this address too! **References and Further Reading: ** Our Top-Ups Podcast Episode: https://soundcloud.com/iamahealthvisitor/top-ups-when-what-how-and-how-much-to-give?si=d2195fa54aa04d19aec62fdcb4e5d179 Pilot study of a smartphone app for jaundice recognition in babies with darker skin tones: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0216970 NICE Clinical Knowledge Summary for Jaundice: https://cks.nice.org.uk/topics/jaundice-in-the-newborn/ Massage for neonatal jaundice - an RCT: https://europepmc.org/article/med/33116094 Systematic Review of Massage for neonatal jaundice: https://www.sciencedirect.com/science/article/abs/pii/S1355184119301255 ABM Jaundice Protocol: https://abm.memberclicks.net/assets/DOCUMENTS/PROTOCOLS/22-jaundice-protocol-english.pdf NHS Direct page: https://www.nhs.uk/conditions/jaundice-newborn/