{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T12:36:36Z","timestamp":1791290196924,"version":"4.3.0"},"reference-count":26,"publisher":"American Academy of Pediatrics (AAP)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2009,8,1]]},"abstract":"<jats:p>BACKGROUND: Key recommendations of the American Academy of Pediatrics guideline on management of severe hyperbilirubinemia in healthy infants of \u226535 weeks' gestation include predischarge screening for risk of subsequent hyperbilirubinemia, follow-up at 3 to 5 days of age, and lactation support. Little information is available on contemporary compliance with follow-up recommendations.<\/jats:p>\n               <jats:p>OBJECTIVE: To assess timing and content of the first newborn office visit after birth hospitalization in urban and suburban pediatric practices in Houston, Texas.<\/jats:p>\n               <jats:p>METHODS: We reviewed office records for the first visit within 4 weeks of birth during January through July 2006 for apparently healthy newborns with a gestational age of \u226535 weeks or birth weight of \u22652500 g seen within a pediatric provider network. For each pediatrician, we selected every fifth patient up to a total of 6.<\/jats:p>\n               <jats:p>RESULTS: Of 845 records abstracted, 698 (83%) were eligible for analysis. Infants were seen by 136 pediatricians in 39 practices. They had vaginal (64%) or cesarean (36%) deliveries at 20 local hospitals, of which 17 had routine predischarge bilirubin screening policies. Only 37% of all infants, 44% of vaginally delivered infants, and 41% of exclusively breastfed infants were seen before 6 days of age. Thirty-five percent of the infants were seen after 10 days of age. Among 636 infants seen at \u226415 days, jaundice was noted on examination in 33%; of these, 44% had bilirubin measured. Nine infants had phototherapy documented after birth hospitalization.<\/jats:p>\n               <jats:p>CONCLUSIONS: Among a large group of urban and suburban pediatricians, implementation of the American Academy of Pediatrics recommendation for follow-up was inconsistent, and delayed follow-up was common. Understanding reasons for delayed follow-up and providing guidance for jaundice management may promote a safer first week of life.<\/jats:p>","DOI":"10.1542\/peds.2008-2926","type":"journal-article","created":{"date-parts":[[2009,7,27]],"date-time":"2009-07-27T11:32:55Z","timestamp":1248694375000},"page":"548-554","source":"Crossref","is-referenced-by-count":29,"title":["Delayed Pediatric Office Follow-up of Newborns After Birth Hospitalization"],"prefix":"10.1542","volume":"124","author":[{"given":"Jochen","family":"Profit","sequence":"first","affiliation":[{"name":"Section of Neonatology, Department of Pediatrics"},{"name":"Section of Health Services Research, Department of Medicine, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas"},{"name":"Houston Veterans Affairs (VA) Health Services Research and Development Center of Excellence, Health Policy and Quality Program, Michael E. DeBakey VA Medical Center, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alva J.","family":"Cambric-Hargrove","sequence":"additional","affiliation":[{"name":"Texas Children's Pediatric Associates Operations, Texas Children's Hospital, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kay O.","family":"Tittle","sequence":"additional","affiliation":[{"name":"Texas Children's Pediatric Associates Operations, Texas Children's Hospital, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth","family":"Pietz","sequence":"additional","affiliation":[{"name":"Section of Health Services Research, Department of Medicine, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas"},{"name":"Houston Veterans Affairs (VA) Health Services Research and Development Center of Excellence, Health Policy and Quality Program, Michael E. DeBakey VA Medical Center, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann R.","family":"Stark","sequence":"additional","affiliation":[{"name":"Section of Neonatology, Department of Pediatrics"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2009,8,1]]},"reference":[{"key":"2021120905285376800_R1","doi-asserted-by":"crossref","unstructured":"Maisels MJ. Neonatal jaundice. Pediatr Rev.\u20082006;27(12):443\u2013454","DOI":"10.1542\/pir.27-12-443"},{"key":"2021120905285376800_R2","doi-asserted-by":"crossref","unstructured":"American Academy of Pediatrics, Subcommittee on Neonatal Hyperbilirubinemia. Neonatal jaundice and kernicterus. Pediatrics.\u20082001;108(3):763\u2013765","DOI":"10.1542\/peds.108.3.763"},{"key":"2021120905285376800_R3","doi-asserted-by":"crossref","unstructured":"Bhutani VK, Johnson LH. Kernicterus: lessons for the future from a current tragedy. 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