Neonatal Hyperbilirubinemia/Jaundice Clinical Pathway — Inpatient and Primary Care

Outpatient Management
Feeding Recommendations	Consider nursing consult for lactation Encourage frequent feedings Avoid formula in breastfeeding infants
Rechecking Bili Levels	Consult BiliTool™ for recheck guidance Once level is out of phototherapy range, recheck is not needed
Consider Additional Lab Work	Check birth history for maternal/infant blood types If blood type unknown or no DAT result, draw a DAT If DAT positive, draw CBC and retic

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The clinical pathways are based upon publicly available medical evidence and/or a consensus of medical practitioners at The Children’s Hospital of Philadelphia (“CHOP”) and are current at the time of publication. These clinical pathways are intended to be a guide for practitioners and may need to be adapted for each specific patient based on the practitioner’s professional judgment, consideration of any unique circumstances, the needs of each patient and their family, and/or the availability of various resources at the health care institution where the patient is located.

Accordingly, these clinical pathways are not intended to constitute medical advice or treatment, or to create a doctor-patient relationship between/among The Children’s Hospital of Philadelphia (“CHOP”), its physicians and the individual patients in question. CHOP does not represent or warrant that the clinical pathways are in every respect accurate or complete, or that one or more of them apply to a particular patient or medical condition. CHOP is not responsible for any errors or omissions in the clinical pathways, or for any outcomes a patient might experience where a clinician consulted one or more such pathways in connection with providing care for that patient.