Guidelines For Management Of Neonatal Jaundice (Adapted from KKH data) Normal Risk Factors Clinically well No known major risk factors for jaundice Low Risk Home Admit Single Blue Double Blue Exchange level Age in Hrs <24hrs Refer to “High Risk Factors”‐‐ >24 48hrs 190 210 220 300 340 >48 72hrs 220 250 260 320 360 >72 120hrs 220 260 260 360 400 >120 hrs Day 14 260 300 300 360 400 High Risk Factors Jaundice observed in first 24 hrs Blood group incompatibility with positive direct Coombs’ test, or antibody titres >128 *G6PD deficient GA 35‐36 weeks Significant cephalohematoma or significant bruising Exclusive breastfeeding, particularly if nursing not going well Age <72hrs and mother’s blood groupO+ and baby’s blood group unknown Age <72hrs and both parent’s blood group unknown High Risk Home Admit Single Blue Double Blue Exchange level Day of life <24hrs 90 130 140 220 260 >24 48hrs 160 180 190 260 290 >48 72hrs 190 210 220 290 320 >72 120hrs 190 220 220 300 340 >120 hrs Day 14 220 260 260 300 340
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