Amy and Jen discuss a government guidance document published in the past year which reviews the Hepatitis B selective immunisation pathway for pregnant people and newborns. We look at this guidance from the perspective of health visitors in practice - what do you need to know? What should be happening, what actually IS happening and what do you need to do when this crops up on your caseload? As ever we love to hear from you with any comments or thoughts by email on [email protected]. Resources and Further Reading: I am a HV episode on the Hexavalent vaccine: https://soundcloud.com/iamahealthvisitor/changes-to-the-immunisation-schedule-august-2017-episode-2 Guidance Document - Hepatitis B antenatal screening and selective neonatal immunisation pathway. https://www.gov.uk/government/publications/hepatitis-b-antenatal-screening-and-selective-neonatal-immunisation-pathway

Merry Christmas! Get your IamaHV Bingo card at the ready (downloadable from our twitter and instagram feeds @IamaHV), mince pies and cup of tea lined up and get ready to laugh. A lot. Have your tissues at the ready for the last section, which got unexpectedly emotional! Thank-you everyone for all your amazing funny stories. You are all hilarious! Thank-you to our volunteer voices who have recorded the specially selected few. Thank-you to every single one of you who is continuing to just. keep. going. through everything and still managing to have a smile on your face from time to time. You are awesome. Merry Christmas with so much love, Jen and Amy x [email protected]

Amy and Jen talk about something we see and manage all the time, but as we always find there is more to it than meets the eye! We discuss definitions and different forms of jaundice in terms of the underlying mechanism, red flags and risk factors, assessment including how to spot jaundice in darker skin tones (and some promising new tech to help with this!), how to judge severity and what your management plan should be. We also talk a lot about feeding issues - as is to be expected with this topic. The episode would pair really well with our top-ups episode where Jen puts her IBCLC hat on to give us loads of detail on how to supplement a baby who is struggling to transfer enough milk at the breast, if you wanted to check that one out too the link is in the resources section below. We also discuss some International differences with the management and response to jaundice and wonder whether there are lessons we can learn from other places in the world. We always love to hear from you - please do get in touch with any comments or suggestions by email [email protected]. You can also send us your funny anecdotes for our Christmas episode to this address too! **References and Further Reading: ** Our Top-Ups Podcast Episode: https://soundcloud.com/iamahealthvisitor/top-ups-when-what-how-and-how-much-to-give?si=d2195fa54aa04d19aec62fdcb4e5d179 Pilot study of a smartphone app for jaundice recognition in babies with darker skin tones: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0216970 NICE Clinical Knowledge Summary for Jaundice: https://cks.nice.org.uk/topics/jaundice-in-the-newborn/ Massage for neonatal jaundice - an RCT: https://europepmc.org/article/med/33116094 Systematic Review of Massage for neonatal jaundice: https://www.sciencedirect.com/science/article/abs/pii/S1355184119301255 ABM Jaundice Protocol: https://abm.memberclicks.net/assets/DOCUMENTS/PROTOCOLS/22-jaundice-protocol-english.pdf NHS Direct page: https://www.nhs.uk/conditions/jaundice-newborn/