Abstract

What is the standard of care for an infant with a high bilirubin level? Numerous "guidelines" based on well-intentioned opinions certainly exist, but should these really define a standard of care? I don't think so. We still don't have enough solid evidence to make rules! After more than 40 years of research, Newman and Maisels are suggesting new guidelines for healthy fullterm infants. They have critically reviewed the evidence available and make some new recommendations. I was curious to learn the reactions of a number of "bilirubin experts" and the opinions of an American Academy of Pediatrics Task Force on the subject. I thought it might be worthwhile to have all of these published in the same issue to demonstrate the wide spectrum of opinions which exist.

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