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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
19:15

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

Thai healthy newborns have a higher risk

Kriangsak Jirapaet1

  • 1Department of Pediatrics, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand. sikjr@mahidol.ac.th

Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
|March 16, 2006
PubMed

Insights

Kernicterus, a preventable neurologic disorder, stems from severe newborn hyperbilirubinemia. Adopting AAP guidelines can reduce its prevalence and complications in Thailand.

Area of Science:

  • Neonatal care
  • Neurology
  • Public health

Background:

  • Kernicterus is a severe neurologic condition caused by untreated newborn hyperbilirubinemia.
  • It leads to lifelong complications and is preventable.

Purpose of the Study:

  • To discuss causes and risk factors for kernicterus within the Thai health system.
  • To propose risk reduction strategies for newborn care in Thailand.

Main Methods:

  • Review of potential causes and risk factors for kernicterus in the Thai healthcare context.
  • Discussion of existing efforts to improve Thai newborn jaundice care.

Main Results:

  • Identified health system factors contributing to kernicterus in Thailand.
  • Proposed risk reduction strategies tailored to the Thai healthcare system.

Conclusions:

  • Adherence to the American Academy of Pediatrics (AAP) guidelines for hyperbilirubinemia management is recommended.
  • Implementing feasible AAP strategies can decrease severe hyperbilirubinemia and bilirubin encephalopathy in Thai newborns.

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