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Updated: Sep 3, 2026

Transcutaneous Microcirculatory Imaging in Preterm Neonates
Published on: December 31, 2015
[Phototherapy in full-term neonates]
1Academisch Ziekenhuis, Universiteit van Amsterdam.
Insights
Phototherapy for newborn jaundice is often unnecessary. A long-term study found it did not reduce the need for infant blood exchange transfusions, suggesting overuse in term infants.
Area of Science:
- Neonatal Medicine
- Pediatric Phototherapy
- Jaundice Management
Context:
- Assessing the clinical utility of phototherapy for neonatal jaundice.
- Evaluating treatment efficacy over an extended period (1966-1984).
- Observing trends in phototherapy use and its impact on exchange transfusion rates.
Purpose:
- To investigate the effectiveness of phototherapy in term newborn infants with jaundice.
- To determine if phototherapy influences the necessity of exchange transfusions.
- To analyze the frequency and appropriateness of phototherapy application.
Summary:
- A longitudinal study (1966-1984) examined phototherapy use in term newborn infants with jaundice.
- Analysis revealed that phototherapy did not significantly alter the number of infants requiring exchange transfusions.
- Findings indicate that phototherapy is frequently administered unnecessarily in term neonates.
Impact:
- Highlights potential overuse of phototherapy in neonatal jaundice care.
- Suggests a need for revised clinical guidelines regarding phototherapy indication.
- Emphasizes the importance of evidence-based decision-making in neonatal treatment.
Abstract:
In view of the indistinctiveness of the use of phototherapy in jaundiced term newborn infants a study is reported. The study is a longitudinal one (1966-1984). The number of infants is given in the time period before the use of phototherapy, during phototherapy as well as during the period of less frequent use of phototherapy. It appears that the use of phototherapy did not influence the number of exchanged infants. It is concluded that in the term newborn infants phototherapy is frequently used unnecessary.

