AP02: Jaundice and the Neonate

This course is designed for the Lactation Consultant or nurse/midwife practitioner who cares for mothers and babies in the first few weeks postpartum. You will study normal bilirubin metabolism, noting how it is related to normal physiological and breastmilk jaundice and how this process can move from a normal, protective function to pathological jaundice. The practitioners' role in preventing, or diagnosing and managing pathological jaundice will be examined with particular focus on the role of human milk and breastfeeding.

Access Time:
1 month (starting from time of purchase)
Enrolling in more than 1 course? Time is cumulative ie. buy 2 courses, have 2 months access to both courses
4 Contact Hours for Professional Development
III. Pathology - 4 hours
     A. Infant
         5. Hyperbilirubinemia
This is an untutored course.

Well-constructed online learning gives you the best of both worlds - quality content that you can work through at your own pace, in your own place, but with a level of personal attention that even rivals face-to-face programs. And, you guessed it, Health e-Learning programs are the BEST of online learning with all these great features:

  • Log in when it suits you 24/7/365
  • Study at your own pace within your enrolment period
    • no formal deadlines, stressful exams or assignments
  • Course materials are designed for the internet with interactive activities, links, and learning resources. You'll be fully engaged in the well-presented content, enjoying your learning experience.
  • All reading provided or linked
  • Periodic testing of knowledge with fun self-test activities
  • Immediate feedback for final online assessment
    • certificate of completion issued immediately
  • Administrative and technical support available online


It is expected that the student possesses a comprehensive understanding of

  • jaundice as a common post-birth infant condition,
  • good breastfeeding technique,
  • signs of adequate milk intake,
  • assessment of the infant's physical well-being,
  • actions to promote adequate milk supply,
  • the importance of human milk for all infants, and the effect of breastmilk substitutes on infants and children, and
  • the Ten Steps to Successful Breastfeeding (WHO/UNICEF).


1.0 Introduction
2.0 Bilirubin metabolism 
    • Normal processes
    • Normal serum bilirubin levels
2.1 Risk factors
3.0 Jaundice
3.1 Benign types of hyperbilirubinemia 
    • Physiological jaundice 
    • Breastmilk jaundice
3.2 Harmful types of jaundice
    • Starvation jaundice      
    • Pathological Jaundice   
    • Kernicterus
4.0 Diagnosis
    • Physical appearance 
    • Assessment
4.1 Management
    • Feeding Plan 
    • Phototherapy           
    • Practical support of breastfeeding during phototherapy 
    • Other treatments
    • Discharge and follow-up
4.2 Prevention 
    • Preventable causes
    • Early detection 
    • Parent education
5.0 Summary

Reading Material


  • All required reading materials and resources are available online.
    • A quality, current lactation text is advisable to augment your studies. Please see our list of recommended Reading resources for further information.
  • Participants are permitted to print one copy of their course for personal use only.
    • If you do wish to print, please be aware that some courses are over 60 pages in length. Please be advised that links to articles and interactive activities are not available in the printed version.
    • Copyright of all the photos used resides with Health e-Learning-IIHL who has used them with the permission of the parents who have been willing to share the story of their baby in the hope of supporting and educating others. Please respect this copyright and do not copy the photographs without written permission.

Quality Assurance

  • Original authors: Bridget Ingle, RM IBCLC and Denise Fisher, MMP BN IBCLC
  • 2019 Course overview and significant update 
    Reviewed and updated by Subject Matter Expert: Kathleen A, Marinelli MD, IBCLC, FABM, FAAP
    Clinical Professor of Pediatrics, University of Connecticut School of Medicine, Farmington, CT, USA
    Department of Pediatrics and Neonatology, Connecticut Children’s Medical Center, Hartford, CT, USA
  • Reviews, updates and edits by: Carole Dobrich, B.Sc., RN, IBCLC, Director, Health e-Learning-IIHL, Canada. (human lactation content)
  • All courses are reviewed annually, as well as being updated as new knowledge becomes known.


The aim of this course is to provide a comprehensive review of the mechanisms of bilirubin metabolism and an in-depth understanding of the development of hyperbilirubinemia and how this relates to breastfeeding practices and recommendations.

Course objectives

On completion of this course you should be able to

  • describe the process of bilirubin metabolism in the neonate
  • identify the maternal and infant risk factors for accumulation of bilirubin causing hyperbilirubinemia
  • describe the normal pattern of rise and fall of serum bilirubin in the neonate
  • list each type of jaundice
  • explain the process of each type of jaundice, its onset and resolution
  • describe optimal feeding practices that will help to reduce the development of problematic hyperbilirubinemia in at-risk infants
  • list additional strategies to support breastfeeding and assist optimal management of hyperbilirubinemia requiring phototherapy


Achievement of the learning objectives is assessed by automatically graded, online, multiple-choice questions. A passing grade is 85%.

A Workbook, downloaded from the course, is not required to be submitted, but completion will aid learning and provide an excellent resource.

On successfully completing this course you will be able to download, save and print your Certificate of Completion. Your Certificate will note ongoing education accreditation points.


On successful completion of this course, you will be awarded:

  • 4 L CERPs - IBLCE Approved
  • 4 hours of professional development education or lactation-specific education
  • 4 Contact Hours (ANCC). Health e-Learning is an approved provider of continuing education by the California Board of Registered Nursing Approval Number: CEP 15684
  • Recertification:
    • III. Pathology - 4 hours
      • A. Infant
        • 5. Hyperbilirubinemia

The accreditation points mentioned are noted on your Certificate of Completion.

Do we offer CEUs? Need other types of accreditation? Please see our Accreditation FAQ for more information.


  1. The course is available as a one-month subscription commencing on the day of notification to you of your username and password.
  2. The subscription time is cumulative - for example, if you purchase more than one course your subscription time in all courses will be extended.
  3. The subscription time may be extended by purchasing extensions, but must be purchased before the subscription expiry date.
  4. The average time taken to complete this course and the assessment is 4 hours.
  5. On successful completion, your Certificate will be available to you in pdf format from the course website or emailed to you.
  6. Replacement certificates can be obtained for a fee, however we maintain an official transcript that is available free for all customers to download at any time.

Fees and Payments

  • Enrollments are accepted online, or upon receipt of a faxed or mailed enrollment form (available on request).
  • Payments online are available via credit cards through either PSiGate or PayPal gateways.
  • The cost is US$49.00 per course.
  • Additional fees, that are out of our control, may be charged by your bank to convert this to your local currency.
  • Please see our Payments FAQ for more information.

Refunds and Privacy

Please see our Terms and Conditions for more information regarding refunds and our Privacy Policy is also available.