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Biliary Atresia

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New evaluation of the first 2 years of the Biliary Atresia Home Screening Program has been published in the Journal of Pediatric Gastroenterology and Nutrition. Read the "Province-wide Biliary Atresia Home Screening Program in British Columbia: Evaluation of First 2 Years" article. 


Effective April 2015, the BC Infant Stool Colour Card is a nine-colour card. There are six boxes depicting abnormal stool colour and three boxes depicting normal stool colour. The previous version contained three abnormal and three normal stool colours.

Changes were also made to the text to make instructions clearer and to emphasize that if the family goes to their health care provider during the first month concerned about their infant’s stool colour, they should take the card with them to help facilitate follow-up. 

All changes were made to reflect feedback from care providers and parents.

The new card has been translated into multiple languages - see box on the right. Please note these cards are not intended to be used for the colours. Families should always refer to the English card for accurate colours and refer to the translated version for instructions. 

We have also updated the Nurse Script to support nurses and midwives with their communication to families at discharge.

If you have any questions, please contact us at:

Phone: 604-877-2121


Background for Health Care Providers

In March 2014, we posted the "Home Based Screening for Biliary Atresia Using Stool Colour Cards: Improving the Health of British Columbian Newborns" presentation by Dr. Rick Schreiber, Director, BC Pediatric Liver Transplant Program at BC Children's Hospital. Topics include biliary atresia, the Canadian experience, a pilot feasibility study, and the Biliary Atresia Home Screening Program, which launched in BC in 2013. Note: We recommend watching the video with the presentation slides.

Training for Nurses and Midwives

Please visit the Training for Nurses and Midwives homepage.

What To Do

If an infant older than two weeks is still jaundiced and presents at your office with an abnormal stool colour, order a blood test for bilirubin.

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