What should I do if the newborn's jaundice skin test is 17 on the third day?

Patient's question:

Newborn jaundice on the third day, skin test 17, blood test bilirubin 310. Under blue light for 5 days, bilirubin 192. On the sixth day of blue light, skin test 10.9, discharged home. Two days later, a follow-up skin test showed 11-12, then took Yinzhihuang oral liquid and double-strain live bacteria powder for three days, follow-up skin test 12-13, blood test...

Doctor's answer:

Hello, ABO hemolysis is common when the mother has O-type blood and the infant has A-type or B-type blood. In addition to jaundice, ABO hemolysis also presents with anemia. Laboratory tests show that this child does not have anemia. Considering the high bilirubin levels in the infant, further examination and treatment are recommended. You can have another ABO hemolysis test at a higher-level hospital. If it remains positive, treatment with immunoglobulin is necessary.

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