Baby 'O' positive, blood group, mother Rh negative, cord bilirubin 7 mg%, conjugated 1 now treatment is -
Nothing
Stop breast feeding for 48 hours
Continue breast feeding and phototherapy
Stop breast feed and prepare for exchange blood transfusion
Ans. is 'd' I.e., Stop breast feed and prepare for exchange blood transfusion Treatment of Neonatal JaundiceIn Preterm BabyWeightPhotothegrpyExchange< 1 kgStart within 24 hourTSB 10-12 mg1- 1.5 kg7-9 mg/dl12-15 mg/dl1.5-2 kg10-12 mg/dl15-18 mg/dl2-2.5 kg13-15 mg/dl18-20 mg/dlo In hemolytic disease, immediate exchange transfusion indicationCord bilirubin is > 4.5 mg/dl and Hb < 11 gm%.Bilirubin rising > 1 mg/dlfhour despite phototherapy.Hb level 11-13 gm/dl and bilirubin rising more than 0.5 mg/dl/hour.Bilirubin is rising inspite of phototherapy.