Breast Milk Jaundice

Breast milk jaundice presents after the 4th day of life- usually sometime during the second week- but not on the first day of life. It is a very common cause of unconjugated hyperbilirubinemia. Other than discoloration of the skin and conjunctiva, no other signs or symptoms of an underlying pathology are expected. The infant should be healthy, thriving, and feeding adequately. That is to say that the infant will have gained sufficient weight and is producing a normal amount of stool and urine, which is approximately 3-4 stools and 6-7 wet diapers per day. The nutritional status of the infant is a key distinguishing feature; feeding is inadequate in lactational failure jaundice but normal in breast milk jaundice. However, it is important to keep in mind that sometimes both conditions may co-exist.

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