rss
Arch Dis Child Fetal Neonatal Ed 96:F461-F466 doi:10.1136/adc.2010.184416
  • Reviews

Understanding and managing breast milk jaundice

  1. Barbara L Philipp1
  1. 1Department of Pediatrics, Boston University School of Medicine, Boston, Massachusetts, USA
  1. Correspondence to Dr Barbara L Philipp, Department of Pediatrics, Boston Medical Center, 850 Harrison Avenue, YACC-5, Boston, MA 02118–2392, USA; bobbi.philipp{at}bmc.org
  • Accepted 2 June 2010
  • Published Online First 5 August 2010

Abstract

The breastfed infant with prolonged unconjugated hyperbilirubinaemia can present a vexing clinical dilemma. Although it is a frequently observed and usually benign finding, prolonged jaundice in the breastfed newborn requires a thoughtful evaluation that excludes possible pathological aetiologies. While recommendations for the treatment of unconjugated hyperbilirubinaemia in the first 7 days of life are straightforward, the approach to the breastfeeding infant with jaundice that persists beyond the immediate neonatal period is less clearly delineated. A sound understanding of bilirubin physiology and familiarity with current literature must guide the management of the otherwise well breastfeeding infant with prolonged unconjugated hyperbilirubinaemia.

Footnotes

  • Competing interests None.

  • Provenance and peer review Commissioned; externally peer reviewed.

Responses to this article

Latest from Education & Practice

Latest from Education & Practice

Register for free content

Free sample
This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of ADC Fetal & Neonatal.
View free sample issue >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Navigate This Article