This guideline covers diagnosing and treating jaundice, which is caused by increased levels of bilirubin in the blood, in newborn babies (neonates). It aims to help detect or prevent very high levels of bilirubin, which can be harmful if not treated.
In October 2016, recommendation 1.4.9 was amended to clarify when intensified phototherapy should be used in relation to time since birth.
This guideline includes recommendations on:
- providing information to parents or carers
- managing and treating hyperbilirubinaemia
- measuring and monitoring bilirubin thresholds before and during phototherapy
- assessing babies for underlying disease
- caring of babies with prolonged jaundice
- using intravenous immunoglobulin, exchange transfusion and other therapies
Who is it for?
- Healthcare professionals
- Parents of newborn babies and their families and carers
Is this guideline up to date?
We checked this guideline in June 2020. We found no new evidence that affects the recommendations of this guideline.
Guideline development process
The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using their service. It is not mandatory to apply the recommendations, and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian.
All problems (adverse events) related to a medicine or medical device used for treatment or in a procedure should be reported to the Medicines and Healthcare products Regulatory Agency using the Yellow Card Scheme.
Local commissioners and providers of healthcare have a responsibility to enable the guideline to be applied when individual professionals and people using services wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.