The Bili-ruler is a low-cost, easy-to-use plastic icterometer with six shades of yellow on an ordinal scale that could enable more accurate universal jaundice screening in diverse settings. This Bili-ruler evaluation is nested within the PRISMA Maternal and Newborn Health Study. Bilirubin will be assessed in newborns at 24 hours, 3 days, and 7 days postnatal. Bilirubin will be measured using visual inspection, Bili-ruler, and the BiliCare transcutaneous bilirubinometer. Skin tone will be assessed using the Monk Skin Tone Scale. The primary objectives are to assess the ability of Bili-ruler to identify significantly high bilirubin levels, as well as to assess the inter-rater agreement of Bili-ruler measurements taken by two users.
Participating Study Locations
Study Topics