Wow! I'm glad we live in New Zealand!
Here, inductions rarely happen for social reasons - we still have about 20%
induction rate though, mostly for prolonged pregnancy (more than 41 weeks,
ideally not before 42 weeks, depending on liquor volume).

Phototherapy is sometimes done at home, with a Bili-bed - baby is zipped
into a sleep suit, and lies on mattress with lights underneath. This is only
done for physiological jaundice, under supervision of a paediatrician, and
with daily monitoring of the bili level by the home-visiting midwife (all
women have at least 5 home visits, decreed by maternity regulations).

I can't tell you rates of phototherapy, but it is less than  5-10% I would
say. We use clear graph-plotted guidelines.
http://www.adhb.govt.nz/newborn/Guidelines/GI/Jaundice.htm

I certainly have noticed a decrease in physiological jaundice in  recent
years, as we have improved our breastfeeding education and have babies
feeding frequently and well.


Fiona Hermann
midwife (community and level 3 hospital)
Hamilton
NZ

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