David Jean Simon, Yasmeen Jamali, Comfort Z Olorunsaiye, Jean-Marie Théodat
Knowledge of the ovulatory cycle and its determinants among women of childbearing age in Haiti: a population-based study using the 2016/2017 Haitian Demographic Health Survey
BMC women's health
american academy pediatrics canadian paediatric society advise newborns undergo bilirubin screening leaving hospital become standard practice countries however us preventive task force found strong evidence suggest practice universal screening bilirubin reduces occurrence significant outcomes bilirubininduced neurologic dysfunction kernicterus evaluate effectiveness transcutaneous screening compared visual inspection hyperbilirubinemia prevent readmission newborns infants greater 35 weeks gestation phototherapy searched central medline embase cinahl clinicaltrialsgov ictrp isrctn june 2023 also searched conference proceedings reference lists included studies included randomized controlled trials rcts quasirandomized clusterrandomized prospective cohort studies control arm evaluated use transcutaneous bilirubin tcb screening hyperbilirubinemia newborns hospital discharge used standard methodologic procedures expected cochrane evaluated treatment effects using fixedeffect model risk ratio rr 95 confidence intervals ci categorical data mean standard deviation sd mean difference md continuous data used grade approach evaluate certainty evidence identified one rct 1858 participants met inclusion criteria study included 1858 african newborns 35 weeks gestation greater receiving routine care wellbaby nursery randomly recruited prior discharge undergo tcb screening study good methodologic quality tcb screening versus visual assessment hyperbilirubinemia newborns may reduce readmission hospital hyperbilirubinemia rr 025 95 ci 014 046 p 00001 moderatecertainty evidence probably little effect rate exchange transfusion rr 020 95 ci 001 1416 lowcertainty evidence may increase number newborns require phototherapy prior discharge rr 267 95 ci 156 455 moderatecertainty evidence probably little effect rate acute bilirubin encephalopathy rr 033 95 ci 001 818 lowcertainty evidence study evaluate report cost care moderatecertainty evidence suggests tcb screening may reduce readmission hyperbilirubinemia compared visual inspection lowcertainty evidence also suggests tcb screening probably little effect rate exchange transfusion compared visual inspection however moderatecertainty evidence suggests tcb screening may increase number newborns require phototherapy discharge compared visual inspection lowcertainty evidence suggests tcb screening probably little effect rate acute bilirubin encephalopathy compared visual inspection given identified one rct studies necessary determine whether tcb screening help reduce readmission complications related neonatal hyperbilirubinemia settings limited newborn followup hospital discharge identifying newborns risk severe hyperbilirubinemia hospital discharge important plan targeted followup infants