Bili-AOM: the Bili-Tool Resource for Midwives allows midwives to interpret newborn bilirubin levels based on Ontario specific algorithms. The app plots newborn bilirubin levels on standardized treatment charts to guide appropriate management steps including the use of phototherapy, consultations for exchange transfusion and requirements for additional testing. The app also includes a weight-loss calculator and links to additional AOM resources
This app is intended for Ontario midwives' use after their client has chosen bilirubin screening. While midwives outside Ontario are welcome to use this tool, as well as other maternity care providers, some information may be specific to the context in which Ontario-based registered midwives provide care.
This app is designed for use in conjunction with the Association of Ontario Midwives' Clinical Practice Guideline No.19: Management of Hyperbilirubinemia in the Healthy Late Preterm and Term Neonate (2019). Users of the app are encouraged to refer to the clinical practice guideline for a complete analysis of the research relevant to hyperbilirubinemia and midwifery practice, along with full citations.
Bili-Tool Resource for Midwives is intended as a reference tool for clinicians and is not intended to dictate a course of action. Proper use of this tool requires awareness of your client’s clinical circumstances, and needs and values, as well as familiarity with your local circumstances and standards of practice.
The development of this app was generously supported by the Ontario Ministry of Health and Long-Term Care.