AOM CPG 18: Management of Hyperbilirubinemia
This CPG reviews evidence related to the prevention, screening, and treatment of severe hyperbilirubinemia in the otherwise healthy term and late preterm neonate.
- This CPG uses the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) methodology for guideline development. The GRADE tables describe how evidence informed the recommendation statements.
The CPG summary offers convenient access to some of the most essential content of the full CPG. For a complete analysis of the research relevant to midwives’ management of hyperbilirubinemia along with citations, please refer to the full guideline.
The Clinical Pathway offers guidance on hyperbilirubinemia screening and midwifery management of phototherapy in the form of a care pathway.
This clinical data discussion explores midwifery practice of deferred (or delayed) cord clamping and risk for hyperbilirubinemia requiring phototherapy using BORN Ontario data. It provides key take away points to include in ICDs with clients and to use in advocacy with hospital colleagues.
For midwives interested in purchasing a bilimeter, this resource aids in decision-making by offering a comparison of two bilimeter devices, the Dräger Jaundice Meter JM-105 and the Philips BiliChek.
Mobile App: Bili-Tool
Download the Bili-Tool App to your Android or iOS device to plot TSB/TcB levels on a treatment threshold graph. This app will indicate if an infant requires treatment based on their bilirubin reading, and contains a condensed version of the CPG and a weight tracking calculator.
Click for iOS
Click for Android
What is jaundice? A resource for clients providing an overview of jaundice, its effects on a newborn, and screening and treatment options.
What is phototherapy and why does my baby need it? A resource for families whose infant requires phototherapy for hyperbilirubinemia exploring what to expect during treatment (available in six additional languages).
Webinar Highlights from the AOM’s 2019 Clinical Practice Guideline: Management of Neonatal Hyperbilirubinemia
The AOM’s 18th CPG on management of neonatal hyperbilirubinemia is based on the latest evidence and midwifery philosophy of care. This webinar discusses the process taken to review and interpret evidence, and to make evidence-based recommendations regarding management of neonatal hyperbilirubinemia. Presenters review the recommendations with unique midwifery considerations including the use of sunlight, visual assessment, and universal screening as well as accompanying knowledge translation tools and resources for midwives and clients.
Risk Reference Sheet - Failure to Identify/Manage Hyperbilirubinemia
HIROC's Risk Reference Sheet on hyperbilirubinemia reviews themes from past incidents and opportunities to avoid similar incidents in the future.
Sample protocols submitted by midwifery practices are available on postpartum topics for practices to download and adapt. Be sure to tailor the template to reflect current evidence, best practices and practice group/community specific info before use.