Prolonged Jaundice Service at Guy’s and St Thomas’
Our Prolonged Jaundice Service receives around 300 referrals a year. Infants should be referred if they are still visibly jaundiced at the age of 21 days.
Phone switchboard on 020 7188 7188 (Monday to Friday 9am to 5pm) and bleep the Neonatal Registrar on 0682.
Assessment is made based on the information obtained at the time of referral (a short clinical survey is performed with the referring midwife or GP) and a set of blood tests (liver function test and conjugated bilirubin level) performed by the phlebotomy service at Evelina London Children’s Hospital. Parents receive results over the phone followed by a letter.
We only see a baby in our clinic and expand the testing if there is any concerning information in the initial survey (ie poor weight gain or non-pigmented stools) or if the bilirubin level or its conjugated fraction is really high. More detailed information from our guidelines is available here.
Please note that the majority of referred infants are discharged with a diagnosis of breast milk jaundice. This is a benign, self-limiting condition that may last for 12 weeks and doesn’t need treatment.