Wall Chart A – Phototherapy Chart: When to start phototherapy for jaundice


Also see:

NB. On all babies who are jaundiced in the first 24 hours of life

JAUNDICE & PHOTOTHERAPY VS TRANSFUSION

Treatment Day of Life Healthy Term Baby Premature <35wks,
LBW or sick baby
Phototherapy

Jaundice of these
levels is treated with
phototherapy

Day 1

Treat any visible jaundice with phototherapy

Day 2

15mg/dl
260mmol/l
10mg/dl
170mmol/l

Day 3

18 mg/dl
310 mmol/l
15mg/dl
260mmol/l

Day 4 onwards

20mg/dl
340mmol/l
17mg/dl
290mmol/l
!!! Exchange
Transfusion

Jaundice of these
levels or above is
dangerous and the
baby requires urgent
referral for possible
exchange transfusion

Day 1 15mg/dl
260mmol/l
10mg/dl
220mmol/l
Day 2 25mg/dl
425mmol/l
15mg/dl
260mmol/l
Day 3 25mg/dl
425mmol/l
20mg/dl
340mmol/l
Day 4 onwards 25mg/dl
425mmol/l
20mg/l
340mmol/l