Do we still take G6PD as a risk factor after 5 days?
ANSWER: In Hosp Segamat is NO.
We can safely not take it as a risk factor if the patient is already admitted for 5 days for observation.
(Informed by Dr. Intan, HOD Paeds H. Segamat on 16/7/2026)
Can I remove ABO incompatibility as a risk factor after 3 to 5 days?
ANSWER: In Hosp Segamat is NO.
- Not stated in AAP guidelines / Paeds protocol.
- Maternal IgG mediated hemolysis usually occurs immediately after birth (usually peaks at Day 2-4) and the antibodies decline by Day 7.
- A low reticulocyte count in a well neonate makes ongoing hemolysis less likely as a cause of jaundice.
- Only a FBP can safely say there is no hemolysis (but long TAT).
Recommendation: Not to remove as a risk factor unless we have a proven FBP result.
If nearing ET, do we need to call a specialist/pediatrician?
ANSWER: YES.
In the escalation of care, if the TSB level is < 2 mg/dL from the Exchange Transfusion (ET) threshold, call the specialist/pediatrician immediately.
Do I automatically need to check albumin level since they might lead me to treat at a lower level?
ANSWER: NO.
Albumin does not need to be measured unless there is reason to suspect it would be low or the baby reaches the escalation of care threshold.
Do I use birth gestation or corrected gestational age?
ANSWER:
In Hosp Segamat – use birth gestation.
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