In a retrospective study, cord blood bilirubin levels of 87 neonates who received standard phototherapy for neonatal hyperbilirubinemia were compared with the cord bilirubin levels of 95 neonates without neonatal hyperbilirubinemia, none of whom received phototherapy. There were no significant differences in the cord bilirubin levels between the two groups. These results suggest that routine determination of cord blood bilirubin levels is neither necessary nor cost effective.
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References
1.
Bauer CH, Horiguchi T.Nonhemolytic hyperbilirubinemia in full term infants. Pediatr Annals1976;5:113-20.
2.
Allen FH Jr, Diamond LKErythroblastosis Fetalis. Boston: Little, Brown and Company, 1957.
3.
Reid MM, Marks E., McClure G., et al. Phototherapy in rhesus haemolytic disease. Lancet1972 ; 1:879-80.
4.
Risemberg HM , Mazzi E., MacDonald MG, Peralta M., Held-rich F.Correlation of cord bilirubin levels with hyperbilirubinemia in ABO incompatibility. Arch Dis Child1977;52:219-22.
5.
American Hospital Association Guide to the Health Care Field . Chicago: American Hospital Association , 1979.
6.
Maisels MJBilirubin: on understanding and influencing its metabolism in the newborn infant. Pediatr Clin North Am1972 ;19:447.
7.
Vaughan VC, McKay RC Jr, Behrman REJaundice and hyperbilirubinemia in the newborn infant. In: Nelson WB.Textbook of Pediatrics. 11th ed. Philadelphia: WB Saunders Company. 1979:442-9.
8.
Klaus MH, Fanaroff AANeonatal hyperbilirubinemia. In care of the high-risk neonate. 2nd ed. Philadelphia: WB Saunders Company. 1979:243-66.
9.
Oh W., Karecki H.Phototherapy and insensible water loss in the newborn infant. Am J Dis Child1972; 124:230-2.
10.
Cashore WJDiagnosis and management of neonatal hyperbilirubinemia. Perinatology-Neonatology1979;3:17-21.
