Background: Jaundice is the most common cause of readmission after discharge from birth hospitalisation. Among the adjunctive measures to compliment the effect of phototherapy, fluid supplementation has been proposed to reduce Sr. bilirubin levels. The current study aimed at assessing the effectiveness of intensive phototherapy in lowering the level of Serum bilirubin in neonates and reducing the need for exchange transfusion and duration of phototherapy.

 Methodology: The prospective study was done at Parwati Clinic and Research Centre, Deoghar, Jharkhand. Total duration was of one year (from 1st April 2020 to 30th December 2020).

 Babies of gestation age > 35 weeks who had severe hyperbilirubinemia in exchange transfusion zone. After selecting appropriate patients they were shifted to NICU and started on double surface intensive diode phothotherapy. From above 4 LED phototherapy (make – lullaby) with average intensity of 60µW/ cm2/nm. Babies were full tube fed with 30% extra fluid given over first 6 hours.

Results: There was a gross decline of in TSB 29.2 % at 6 hours and 45.38 % decline at 16.38 mg/dl. Exchange transfusion was not needed in any patient.

Conclusion: The present study, though observational, has shown an even more significant decline in TSB levels and greater reduction in ET rate (no exchange transfusion).