Assessment of Prolonged and Late-Onset Jaundice


Reviewed by Carl Kuschel
Clinical Guidelines Back Newborn Services Home Page
Definition Assessment Management References



  • Liver function tests are not indicated unless there is a conjugated hyperbilirubinaemia. LFTs are often abnormal in the newborn period in breastfed infants with no pathological cause for jaundice.
  • A Coomb's test is not required if the baby is not anaemic, did not have early jaundice, and does not have evidence of haemolysis on the FBC.

Management if Baby is Well and Investigations are Normal

Management if Any Investigations are Abnormal


1 Crofts DJ, Michel VJ-M, Rigby AS, Tanner MS, Hall DMB, Bonham JR. Assessment of stool colour in community management of prolonged jaundice in infancy. Acta Paediatr 1999;88:969-74.
2 Hannam S, McDonnell M, Rennie JM. Investigation of prolonged neonatal jaundice. Acta Paediatr 2000;89(6):694-7.

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