| Physiological jaundice occurs on 3rd to 6th day. It requires no treatment unless if it is deep. Jaundice in first 48 hours is due to Rh compatibility, Refer the child to a Pediatrician immediately along with mothers blood. If mother cannot be sent. Investigate-B1. gr Rh of mother, father and baby. S. Bilirubin and indirect coomb’s test. Child may require exchange transfusion. Mother should be given and anti-D injection. If jaundice is deep or progressive admit the child under a pediatrician’s care. Look for umbilical infection If. S. Bilirubin > 10mg% Tab. Gardenal 30mg x 1/8 tab x tds. Syp. Ampicilin 10 drops tds. Phototherapy. Sugar water. If S. Biliruin > 20mg % When to refer immediately? If jaundice appears in 1st 2 days after birth. If jaundice is deep. If hemorrhagic spots are seen. If drowsiness, muscle twitchings or convulsions. Tab. Gardenal Syp. Ampicilin |
