Suggested Thresholds* for Starting Phototherapy or Exchange Transfusion in Infants < 35 Weeks Gestation
Gestational Age (weeks) | Phototherapy (total serum bilirubin, mg/dL [micromol/L]) | Exchange Transfusion (total serum bilirubin, mg/dL [micromol/L]) |
|---|---|---|
< 28 | 5–6 [86–103] | 11–14 [188–239] |
28 to < 30 | 6–8 [103–137] | 12–14 [205–239] |
30 to < 32 | 8–10 [137–171] | 13–16 [222–274] |
32 to < 34 | 10–12 [171–205] | 15–18 [257–308] |
34 to < 35 | 12–14 [205–239] | 17–19 [291–325] |
* Consensus-based recommendations adapted from Maisels MJ, Watchko JF, Bhutani VK, Stevenson DK: An approach to the management of hyperbilirubinemia in the preterm infant less than 35 weeks of gestation. J Perinatol 32:660–664, 2012. doi: 10.1038/jp.2012.71 | ||
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