Mary,
As I just taught a short session on jaundice and updated my bib, here are my
choice of citations. Gartner especially talks about the potential *value* of
prolonged bilirubin in the infant's system, and Reuters talked about the
value of bilirubin as an antioxidant. It is ridiculous to react to a bili of
9. when baby is otherwise healthy and happy. Even my more conservative peds
locally lose interest once bili drops below 12 or so.
~Lisa

1.American Academy of Pediatrics. Provisional Committee for Quality
Improvement and Subcommittee on Hyperbilirubinemia. Practice Parameter:
Management of Hyperbilirubinemia in the Healthy Term Newborn. Pediatrics
1994; 94:558-565. (available online)

2.Gartner, Lawrence. Jaundice in the Breastfed Infant. Clinics in
Perinatology 1999; 26(2): 431-445.

3.Gartner, Lawrence. Neonatal Jaundice. Pediatrics in Review 1994;
15(11):422-432.

4.Hechtel, Sibylle. Bilirubin acts as antioxidant in the brain. Reuters
Health 1/30/99.

5.Klein, Alan. Teaching Files: Management of Hyperbilirubinemia in the
Healthy Full-term Infant. Neonatology on the Web 1998. Available:
http://www.neonatology.org/syllabus/bili.kleiin.html

Lisa Marasco IBCLC

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