Jaundice in the Newborn - New Born Baby

AIIMS- NICU protocols 2007TABLE 4. Risk Factors for Development of Severe Hyperbilirubinemia in Infants of 35 orMore Weeks’ Gestation (in Approximate Order of Importance) 17Major risk factorsPredischarge TSB or TcB level in the high-risk zone (Fig 2)Jaundice observed in the first 24 hBlood group incompatibility with positive direct antiglobulin test, other known hemolyticdisease (eg, G6PD deficiency)Gestational age 35–36 wkPrevious sibling received phototherapyCephalohematoma or significant bruisingIf breastfeeding is not going well and weight loss is excessiveMinor risk factorsPredischarge TSB or TcB level in the high intermediate-risk zoneGestational age 37–38 wkJaundice observed before dischargePrevious sibling with jaundiceMacrosomic infant of a diabetic motherMale genderDecreased risk (these factors are associated with decreased risk of significant jaundice,listed in order of decreasing importance)TSB or TcB level in the low-risk zone (Fig 2)Gestational age 41 wkDischarge from hospital after 72 hDownloaded from www.newbornwhocc.org 23