the management goals are mainly to exclude the pathologic causes of hyperbilirubinemia and initiate treatment to prevent neurotoxicity . The toxic effects of hyperbilirubinemia like kernicterus was found to be associated with total serum bilirubin level above 20 mg/dl. Hence the management guideline mainly is on phototherapy as initial treatment, on exchange transfusion in all newborns with severe hyperbilirubinemia.