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Arch. Dis. Child. Fetal Neonatal Ed. · Nov 2011
ReviewUnderstanding and managing breast milk jaundice.
- Genevieve L Preer and Barbara L Philipp.
- Department of Pediatrics, Boston University School of Medicine, Boston, Massachusetts, USA.
- Arch. Dis. Child. Fetal Neonatal Ed. 2011 Nov 1;96(6):F461-6.
AbstractThe 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.
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