When the hyperbilirubinemia is under control, phototherapy should be discontinued. The initial level that was used as the starting point, the postnatal age, and the underlying cause all affect the stopping level. After treatment has ended, a follow-up level should be assessed to make sure the treatment was effective. Within the first 12 hours, there may be a typical rebound of 0.5 to 1.0 mg/dl, but this minor increase should not signal the need to resume therapy. With Phototherapy Equipment, Phototherapy can typically be stopped safely, frequently without the need for a rebound level, if the infant is doing well and there is a clear downward trend in the level and breastfeeding is well-established. A follow-up level should be established and phototherapy for the hemolytic disease should be continued longer until a distinct downward trend is established.
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