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July 1983

The Effect of Early Meconium Evacuation on Early-Onset Hyperbilirubinemia

Author Affiliations

From the Department of Pediatrics, Walter Reed Army Medical Center, Washington, DC (Dr Weisman); and the Department of Pediatrics, Fitzsimmons Army Medical Center, Aurora, Colo (Drs Merenstein and Frank, and Mss Digirol, Collins, and Hudgins).

Am J Dis Child. 1983;137(7):666-668. doi:10.1001/archpedi.1983.02140330050013

• Delayed passage of meconium has been associated with hyperbilirubinemia. To determine if early evacuation of meconium is effective in reducing total serum bilirubin level, 84 term healthy neonates were randomly assigned to a suppository group or a nonsuppository group. Use of suppositories resulted in earlier evacuation of meconium as measured by the appearance of transitional stool. No significant effect was noted, however, on total serum bilirubin levels in the first three days of life. Routine use of suppositories to decrease total serum bilirubin level cannot be recommended for term healthy neonates.

(Am J Dis Child 1983;137:666-668)

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