BREASTFEEDING JAUNDICE AND BREAST MILK JAUNDICE 2024

Breastfeeding jaundice and Breast milk jaundice

breastfeeding Jaundice and breast milk jaundice are exaggerated physiological jaundice. There is unconjugated hyperbilirubinemia. If direct or conjugated hyperbilirubinemia is present, alternative diagnosis must be explored.

  • Breastfeeding Jaundice

Related to quantity i.e. volume of milk

MECHANISM:Decreased gut motility and increased reabsorption

Usually occur < 7days

TREATMENT: Increased feeding or formula supplements

  • Breast Milk Jaundice

Related to quality i.e enzyme present in milk

MECHANISM:Decreased level/activity of 2,3 UDP glucuronyl transferase and as a result Decreased conjugation

Usually occur >7 days

TREATMENT: Feed baby formula (formula replacement

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