Is exchange transfusion used for newborn jaundice?

Patient's question:

During the premarital checkup, the doctor said that my blood type didn't match my wife's. If the newborn's jaundice level is too high, it may lead to hemolysis. Now the baby's jaundice level is a bit high. I want to know if blood exchange is needed for newborn jaundice?

Doctor's answer:

If the jaundice level is not high. Only mild jaundice only needs more sun exposure. More baby exercise. More water can get rid of jaundice. Jaundice exchange therapy is usually used for newborns with severe jaundice and life-threatening. Serum indirect bilirubin exceeds 20mg/d (342umol/L). Need to exchange blood. Extract normal blood from the same blood type. Inject into the baby's body. Can dilute the amount of bilirubin in the baby's body. Accelerate metabolism. But the blood donor should first undergo G6PD deficiency screening. Avoid blood donation from relatives. To avoid worsening the condition and jaundice after blood transfusion.

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