Hyperbilirubinemia and breast feeding

Most newborns with jaundice can continue breastfeeding. Decisions about supplementation of a jaundiced newborn should be made on a case-by-case basis. Bilirubin, a product from the normal breakdown of red blood cells, is elevated in newborns for several reasons:. Breastfeeding jaundice most often occurs in the first week of life when breastfeeding is being established.
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Hyperbilirubinemia in the Term Newborn

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Jaundice | Breastfeeding | CDC

Jaundice is a condition that causes the skin and whites of the eyes to turn yellow. There are two common problems that may occur in newborns receiving breast milk. Bilirubin is a yellow pigment that is produced as the body recycles old red blood cells. The liver helps break down bilirubin so that it can be removed from the body in the stool. It can be normal for newborn babies to be a little yellow between days 1 and 5 of life. The color most often peaks around day 3 or 4.
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Hyperbilirubinemia and management of breastfeeding.

Patient Information Handout. Hyperbilirubinemia is one of the most common problems encountered in term newborns. Historically, management guidelines were derived from studies on bilirubin toxicity in infants with hemolytic disease. More recent recommendations support the use of less intensive therapy in healthy term newborns with jaundice.
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Serum bilirubin estimation, which has for some years now been available on point-of-care analyzers, including blood gas analyzers, is probably the most frequently requested blood test in neonatal medicine. There are a number of causes, both physiological and pathological, for neonatal jaundice, and a recently published review article focuses on one of the most common causes: breast milk feeding. According to US data referenced in this review, a third of all babies who are exclusively breastfed develop breast milk jaundice during the first weeks of life.
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