New babies can rejoice with the transcutaneous bilirubinometry usage. /
Children experiencing trauma when divorce or separation occurs in the family need help.
TRANSCUTANEOUS BILIRUBINOMETRY IN JAUNDICED NEONATES: A RANDOMIZED CONTROLLED TRIAL
By Bernice van den Esker-Jonker, MANP, etc. .
Pediatrics, Vol 138, Nu 6, Dec. 2016, article 80.:e20161813
The TcB skin evaluation for neonatal hyperbilirubin is obviously very popular with parents. And, if the neonates could express themselves, it would be very popular with them too, I’m sure. But frequently I am asked by parents if it is reliably useful.
This article answers that question. Furthermore, it shows that in their study a reduction of more than 1/3 of blood draws was resulted. But the decision for starting phototherapy must be based on serum bilirubin testing. ”
HELPING CHILDREN AND FAMILIES DEAL WITH DIVORCE AND SEPARATION
By George J. Cohen, M.D., F.A.A.P. etc.
Pediatrics, Vol 138, Nu 6, Dec. 2016, pg. 103
The detailed review of these devastating events, divorce and separation, has an impact on children of the couple. The review is complete and extremely educational.
Basically this article shows:
1. Realization that the children will need help to cope with the stress of divorce.
2. Anticipation of problems before they impact the children.
3. Allowing the pediatrician or counselor to be the children’s advocate.
In addition, in my experience, do not use the children to manipulate the other parent. I see this frequently, and the children always suffer. Remember, the children are passive spectators in a threatening situation. All too frequently the parents are in a contentious struggle. This is one time you must place your children’s well- being ahead of your own.
