Neonatal jaundice history and symptoms

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [2]

Overview

Family and maternal history obtaining is important for diagnosing of neonatal jaundice. Family history include the history of previous sibling who developed before neonatal jaundice, any other family member with liver disease, and family history of hemolytic anemia. Maternal history include obtaining the history of pregnancy and delivery, any maternal illnesses, breastfeeding history, and usage of any drugs. Symptoms of the neonatal jaundice include yellow color discoloration which is observed in the conjunctiva, mucus membranes, and skin.

History

Family and maternal history is important for diagnosing neonatal jaundice and the management approach.^[1]
For the family history, the following should be evaluated:
- History of previous sibling developed neonatal jaundice
- Family history of jaundice
- Family history of anemia or hereditary hemolytic disorders
- Family members with liver disease

For the maternal history, the following should be evaluated:
- The history of pregnancy and delivery
- Any maternal complications or illness during the pregnancy
- Breastfeeding history
- Usage of any drugs

Symptoms

Symptoms of neonatal jaundice yellow color observed in the following organs of the newborn:^[2]
- The skin
- Conjunctiva
- Mucous membranes

References

↑ American Academy of Pediatrics Subcommittee on Hyperbilirubinemia (2004). “Management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation”. Pediatrics. 114 (1): 297–316. PMID 15231951.
↑ Moyer VA, Ahn C, Sneed S (2000). “Accuracy of clinical judgment in neonatal jaundice”. Arch Pediatr Adolesc Med. 154 (4): 391–4. PMID 10768679.

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[pmid15231951-1] American Academy of Pediatrics Subcommittee on Hyperbilirubinemia (2004). “Management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation”. Pediatrics. 114 (1): 297–316. PMID 15231951.

[pmid10768679-2] Moyer VA, Ahn C, Sneed S (2000). “Accuracy of clinical judgment in neonatal jaundice”. Arch Pediatr Adolesc Med. 154 (4): 391–4. PMID 10768679.

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