Baby Nasrin, a 30 hour old male, presented with jaundice since 19 hours of age and reluctance to feed for 10 hours. Examination found jaundice up to the thighs and lethargy. Investigations confirmed Rh incompatibility with positive direct Coombs test and hyperbilirubinemia. He was diagnosed with neonatal jaundice due to Rh incompatibility and early onset sepsis. He received phototherapy and antibiotics, showed improvement and was discharged on day 7 after jaundice resolved up to the chest.