Study of Stool Color Chart

Stool Colour Chart – A Qualitative Study Page 2
Aim
To conduct a qualitative study on the implementation of a home-based Stool Colour Chart (SCC) to improve
the current opportunistic screening for neonatal cholestasis. Better awareness of acholic stools by families
and health professionals is expected to lead to earlier diagnosis and intervention for time-urgent neonatal liver
diseases such as Biliary Atresia.
Introduction
Lead Maternity Carers (LMC) and Well Child Providers (WCP) have special relationships with families and their
new-borns. These health professionals are in a unique position to help raise health literacy and awareness
within families regarding a wide range of neonatal issues, especially neonatal liver disease.
There are multiple causes of neonatal liver disease that will lead to cholestasis and liver dysfunction. Biliary
Atresia (BA) is a rare congenital, progressive cholestatic condition leading to hepatobiliary fibrosis and
eventual liver failure in early childhood. Around 80 percent of infants with BA are healthy and anicteric at
birth, but if the condition is not diagnosed early and untreated, it is usually fatal by early childhood. [1]
The exact aetiology of BA is unknown, and although BA cannot be prevented, the devastating consequences of
this condition could be alleviated by timely diagnosis and intervention. As a result, a screening test and
education on the signs of neonatal liver disease can help with the earlier diagnosis of time-urgent neonatal
cholestasis such as BA to lower morbidity and mortality. Empowerment and raising health literacy could lead
to greater engagement with primary care as well as referral to secondary and tertiary services.
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