Guidelines For Management Of Neonatal Jaundice (Adapted from

Guidelines For Management Of Neonatal Jaundice (Adapted from KKH data) Normal Risk Factors 
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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 
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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