FIGURE 3
Algorithm providing recommendations for management and follow-up according to predischarge
bilirubin measurements, gestation, and risk factors for subsequent hyperbilirubinemia.
Provide lactation evaluation and support for all breastfeeding mothers.
● Recommendation for timing of repeat TSB measurement depends on age at measurement and how
far the TSB level is above the 95th percentile (Fig 2). Higher and earlier initial TSB levels require an
earlier repeat TSB measurement.
● Perform standard clinical evaluation at all follow-up visits.
● For evaluation of jaundice see 2004 AAP guideline.1
● a Table 3. b Fig 2. c Fig 1. d In hospital or as outpatient. e Follow-up recommendations can be modified
according to level of risk for hyperbilirubinemia; depending on the circumstances in infants at low
risk, later follow-up can be considered