The baby should remain under phototherapy as much as possible and not be removed from the light for long periods of time. Refer to specific phototherapy units manufacturing guidelines for more details It is recommended that it is no more than 30.5cm from the patient. Positon the phototherapy unit over the incubator. The baby may need to be nursed in an incubator to maintain an appropriate neutral thermal environment. Neonates should be nursed naked apart from a nappy, which should be adjusted to cover only the genitalia and bottom. 
Discuss with parents the need for phototherapy to commence and the procedure. Commence phototherapy once TSB/SBR is greater than the phototherapy reference range for neonate’s gestation/weight and presence of risk factors. General Principles: Conventional Phototherapy Giraffe Omnibed with single overhead neoBLUE phototherapy lamp Phototherapy unit positioned correctly over a Babytherm 8000 incubator with baby lying on Biliblanket. The Giraffe Omnibed (Figure 2) and the Drager Isolette 8000 incubators have deeper hoods than the Babytherm but offer better thermoregulation and would be the incubator of choice for the smaller and / or preterm infant. 
A shallow hood means that the phototherapy light can be placed closer to the baby thereby increasing the dose of phototherapy delivered.
PHYSIOLOGIC JAUNDICE VS PATHOLOGICAL JAUNDICE SKIN
As this involves undressing the baby for maximum exposure of skin to light, the baby may have to be transferred to an incubator to maintain normal body temperature if not already in one.Īn incubator that will be most conducive to effective phototherapy is one such as the Drager Babytherm 8000 (Figure 1) or the Weyer Thermocare, that have a relatively shallow hood.
In this type of phototherapy the baby is exposed to a specific type of light which looks blue but may emit light in the blue –green spectrum with wavelengths of 420-550nm This therapy is absorbed into the skin but doesn't damage the skin and may be required for several days.
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