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London South Bank University Faculty of Health and Social Care Student Number: Course: Pre-Registration BSc (Hons) Midwifery Cohort: 09/12 (S) Module Name: The Compromised Neonate Module Reference: MWY _6 _009 Assignment Title: Physiological Jaundice in the Neonate Word Count: 3181 Research Article on Neonatal Physiological Jaundice Care Arora, Mohandas, Ridout and Aladangady published an article in 2011 which focuses on the use of a range of thresholds in the treatment of neonatal jaundice by phototherapy and exchange transfusion, as well as in finding out how many number of hours therapy are needed before the bilirubin levels become stabilised and within the tolerable limits of neonates.
Results also showed that the time needed for stabilisation of bilirubin levels increases along with the gestational age of the neonate. In addition, despite the various methods employed for the treatment of neonatal jaundice and the wide ranges in the treatment levels used, there has been an overall median plateau of around 72 hours for the stabilisation of bilirubin levels in most of the neonates. However, because the date of the release of the NICE guidelines was in proximity with the release of this article, it can be inferred that the national guidelines were not yet fully disseminated in most hospitals and other neonatal units during the time the participating units were contacted, as suggested by the conclusion of the article in the high variability and wide variations in the threshold levels used among the 72 units contacted by the researchers. ...
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