Pediatrics New Born Infants f52286c5

In Rh Isoimmunization, exchange transfusion is indicated in all of the following except:

Cord blood hemoglobin < 10 g/dl

Cord bilirubin is more than 5 mg/dl

DCT positive & History of previous sibling affected

Hydrops fetalis

High-Yield Explanation

d. Hydrops fetalis(Ref: Nelson's 20/e p 871-879, Ghai 8/e p 172-176)Indications of Exchange transfusion in a neonate with Rh incompatibility are:Cord hemoglobin <10g/dL or Cord bilirubin >5mg/dLDirect coomb's test positive & H/o kernicterus or severe erythroblastosis in a sibling.

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