How to determine breast milk jaundice

summary

Baby born 3-4 days or so, will appear skin yellowing, and in postpartum 2-4 weeks or so is the most obvious, some babies to the full moon is still not subsided, but in addition to skin yellowing, other aspects of the situation is good, go to the hospital inspection, the doctor told that is breast milk jaundice. So, how is breast-feeding jaundice? Baby suffering from breast-feeding jaundice to stop breastfeeding?

How to determine breast milk jaundice

First, early onset: it is similar to the onset time and peak time of neonatal physiological jaundice, that is, it appears in 2-3 days after birth, and is most obvious in 4-6 days, and then subsides within two weeks. However, from the clinical point of view, the highest value of breast milk jaundice than physiological jaundice.

Second: late onset: appear later, often immediately after the occurrence of physiological jaundice, can also be aggravated after the physiological jaundice, that is, often 7-14 days after birth. Whether it is early-onset or late-onset breast-feeding jaundice, once stop breast-feeding or feed milk 3-5 days later, jaundice will decline; if you start breast-feeding again, jaundice can reappear. The duration of breast milk jaundice is longer than that of normal physiological jaundice, up to 1-2 months, but it can be differentiated from liver inflammation by laboratory test.

Third: Generally speaking, it is unnecessary. Breast milk jaundice has a good prognosis, usually does not appear more severe symptoms, and does not need special drug treatment. It is not necessary to take the child to the hospital repeatedly to avoid cross infection. After stopping breastfeeding, jaundice will subside immediately, but breast milk is the most ideal nutrition for infants. In order to make children get the necessary nutrition, a small amount of breastfeeding is adopted for many times, and the serum bilirubin concentration is often monitored. Once the increase is obvious, breastfeeding will be suspended immediately. During the period of suspension, breast milk should be sucked out with a breast pump to keep the full secretion of milk. After the jaundice of the newborn is relieved or subsided, breast-feeding can be continued. After that, even if there is mild jaundice, there is no need to stop breastfeeding. Generally speaking, with the increase of age, jaundice can gradually subside, and it has little impact on the baby, so parents can rest assured.

matters needing attention

From a medical point of view, when the baby is born, the skin color is ruddy, but soon after breast-feeding, if there is skin and mucosal jaundice and there is no declining trend, it may be breast-feeding jaundice. The incidence of breast milk jaundice is 1% - 2%, even higher. Why do some infants have jaundice after breastfeeding? The main reason may be related to the increased absorption of bilirubin in the small intestine of the newborn. According to experts, breast milk jaundice is due to the mother's milk contains glucuronidase, the activity is particularly high, so that bilirubin is reabsorbed in the small intestine of the baby, so the baby will appear jaundice and continue.