Study of Stool Color Chart
Stool Colour Chart – A Qualitative Study Page 5
Biliary Atresia Screening & Education in New Zealand
Currently, there is informal opportunistic screening for neonatal cholestasis in New Zealand with a simple
question being asked of families by LMC/WCP regarding stool colour during scheduled visits without a robust
process in terms of follow-up or quality assurance. Prompt presentation and diagnosis then relies upon self-
referral by families or their LMC/WCP.
The Well Child Tamariki Ora (WCTO) Programme is a Ministry of Health initiative to ensure families and their
children are offered support, information and clinical assessments throughout the first five years of the child’s
life. The WCTO - My Health Book is given to all families at the birth of a child, and is used as a reference as well
as a record of interactions with different primary care services. There is a wide range of neonatal and
childhood topics covered by the My Health Book as well as scheduled visits with medical professionals with
suggested topics for discussion and clinical assessments. The book makes reference to abnormal neonatal
stool as “pale like putty,” and normal stool as “yellow or brown.” There is no visual reference and is only part
of suggested discussion topics at the 2-6 Week Check and 4-6 Week Checks. [22]
As an accompanying tool, the Ministry of Health also provides the Your Health Website as part of its
Health.org.nz domain. Further information is provided on different health topics for adults and children. A
section on new born bowel motions discusses the range of normal stool colours as well as the need for medical
review if the bowel motion was “white or cream coloured.” [23]
Further health promotion and literacy has been targeted by the Paediatric Society of New Zealand and the
Starship Foundation with their collaboration on the Kidshealth Website. The website aims to provide accurate
and reliable information for families/whānau on child health and safety issues. The website has sections
dedication to both Jaundice and BA, and both sections contain the Beware Yellow Campaign which is aimed at
educating families with jaundiced babies that if the stools are pale and/or the urine is dark, that they should
seek medical attention. Although the campaign uses a photo of acholic stool and an example of a jaundiced
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