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Arch Dis Child Fetal Neonatal Ed. 2011 Nov;96(6):F461-6. doi: 10.1136/adc.2010.184416. Epub 2010 Aug 5.

Understanding and managing breast milk jaundice.

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Department of Pediatrics, Boston University School of Medicine, Boston, Massachusetts, USA.


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.

[Indexed for MEDLINE]

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