Abstract
We describe two term infants who developed severe jaundice with kernicterus due to hemolytic disease (anti-B and anti-c, respectively) after outpatient delivery. The total serum bilirubin levels were 38 and 39 mg/dL, respectively. The infants developed permanent deafness (bilateral hearing threshold above 80dB). The diagnosis was delayed because a finding of anti-c antibody was not recorded in the maternity pass and because a direct Coombs test was negative. Short hospital stays after delivery may increase the risk of missing severe hemolytic disease of the newborn, particularly if pediatric follow-up after discharge is not guaranteed.
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