Universal Transcutaneous Bilirubin Screening in a Midwifery-Led Home Care Setting.

ABSTRACT:

Importance

Visual inspection is commonly the first-line screening method for hyperbilirubinemia in neonates cared for at home. However, it is unreliable and may delay treatment.

Objective

To assess the clinical outcomes, costs, and user convenience associated with universal transcutaneous bilirubin (TCB) screening for detecting hyperbilirubinemia in a diverse neonatal population cared for at home.

Design, setting, and participants

This prospective decision analytical model was conducted between July 11, 2021, and June 9, 2023, in 9 midwifery practices across the Netherlands. Neonates (gestational age ≥35 weeks) were eligible if they had their first midwife visit prior to postnatal day 6 and had not yet received phototherapy.

Exposure

At each home visit, the mid

SUBMITTER: Westenberg LEH 

PROVIDER: S-EPMC12797098 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature