Pediatricians’ knowledge and perception of the care of the infant with jaundice
Aim: Neonatal jaundice is a common cause for emergency department referral in the first weeks of life. Indirect bilirubin in high levels can cross the blood-brain barrier and cause bilirubin-induced neurotoxicity. This study aimed to evaluate primary care pediatricians’ self-perception, attitudes, a...
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| Format: | Article |
| Language: | English |
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Hygeia Press di Corridori Marinella
2025-04-01
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| Series: | Journal of Pediatric and Neonatal Individualized Medicine |
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| Online Access: | https://jpnim.com/index.php/jpnim/article/view/1723 |
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| _version_ | 1850260337927913472 |
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| author | Miri Dotan Yael Kovalski Dan Osovsky Hagit Levine Michael Osovsky |
| author_facet | Miri Dotan Yael Kovalski Dan Osovsky Hagit Levine Michael Osovsky |
| author_sort | Miri Dotan |
| collection | DOAJ |
| description | Aim: Neonatal jaundice is a common cause for emergency department referral in the first weeks of life. Indirect bilirubin in high levels can cross the blood-brain barrier and cause bilirubin-induced neurotoxicity. This study aimed to evaluate primary care pediatricians’ self-perception, attitudes, and competency regarding the care of the jaundiced neonate. We evaluated the pediatricians’ knowledge of and adherence to the guidelines of the American Academy of Pediatrics and of the National Institute for Health and Care Excellence.
Methods: Structured questionnaires were distributed online by electronic mailing lists to community pediatricians.
Results: Overall, 188 physicians responded. Responses varied widely regarding the interpretation of cutaneous bilirubin levels. Adding milk formula to breastfeeding was recommended by 47 (25.0%) respondents. Twenty-six (13.8%) recommended temporary breastfeeding cessation to decrease bilirubin levels.
Conclusion: A considerable proportion of community pediatricians who responded to our survey described care for jaundiced neonates that deviates from current guidelines. Education should address the misconception that ceasing breastfeeding effectively lowers bilirubin levels. |
| format | Article |
| id | doaj-art-3764caf0e5344e5281b0f8376281fe13 |
| institution | OA Journals |
| issn | 2281-0692 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Hygeia Press di Corridori Marinella |
| record_format | Article |
| series | Journal of Pediatric and Neonatal Individualized Medicine |
| spelling | doaj-art-3764caf0e5344e5281b0f8376281fe132025-08-20T01:55:39ZengHygeia Press di Corridori MarinellaJournal of Pediatric and Neonatal Individualized Medicine2281-06922025-04-01141e140111e14011110.7363/1401111742Pediatricians’ knowledge and perception of the care of the infant with jaundiceMiri Dotan0Yael Kovalski1Dan Osovsky2Hagit Levine3Michael Osovsky4Kathy and Lee Graub Cystic Fibrosis Center, Schneider Children’s Medical Center of Israel, Petach Tikva, Israel; School of Medicine, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, IsraelSchool of Medicine, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel; Child Health Center, Clalit Health Services, Ramle, IsraelSchool of Public Health, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, IsraelKathy and Lee Graub Cystic Fibrosis Center, Schneider Children’s Medical Center of Israel, Petach Tikva, Israel; School of Medicine, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, IsraelSchool of Medicine, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel; Department of Neonatology, Rabin Medical Center, Beilinson Campus, Petach Tikvah, IsraelAim: Neonatal jaundice is a common cause for emergency department referral in the first weeks of life. Indirect bilirubin in high levels can cross the blood-brain barrier and cause bilirubin-induced neurotoxicity. This study aimed to evaluate primary care pediatricians’ self-perception, attitudes, and competency regarding the care of the jaundiced neonate. We evaluated the pediatricians’ knowledge of and adherence to the guidelines of the American Academy of Pediatrics and of the National Institute for Health and Care Excellence. Methods: Structured questionnaires were distributed online by electronic mailing lists to community pediatricians. Results: Overall, 188 physicians responded. Responses varied widely regarding the interpretation of cutaneous bilirubin levels. Adding milk formula to breastfeeding was recommended by 47 (25.0%) respondents. Twenty-six (13.8%) recommended temporary breastfeeding cessation to decrease bilirubin levels. Conclusion: A considerable proportion of community pediatricians who responded to our survey described care for jaundiced neonates that deviates from current guidelines. Education should address the misconception that ceasing breastfeeding effectively lowers bilirubin levels.https://jpnim.com/index.php/jpnim/article/view/1723breastfeedinghyperbilirubinemiajaundiceneonateprimary carequestionnaire |
| spellingShingle | Miri Dotan Yael Kovalski Dan Osovsky Hagit Levine Michael Osovsky Pediatricians’ knowledge and perception of the care of the infant with jaundice Journal of Pediatric and Neonatal Individualized Medicine breastfeeding hyperbilirubinemia jaundice neonate primary care questionnaire |
| title | Pediatricians’ knowledge and perception of the care of the infant with jaundice |
| title_full | Pediatricians’ knowledge and perception of the care of the infant with jaundice |
| title_fullStr | Pediatricians’ knowledge and perception of the care of the infant with jaundice |
| title_full_unstemmed | Pediatricians’ knowledge and perception of the care of the infant with jaundice |
| title_short | Pediatricians’ knowledge and perception of the care of the infant with jaundice |
| title_sort | pediatricians knowledge and perception of the care of the infant with jaundice |
| topic | breastfeeding hyperbilirubinemia jaundice neonate primary care questionnaire |
| url | https://jpnim.com/index.php/jpnim/article/view/1723 |
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