Breast Milk Jaundice and Breastfeeding Jaundice Symptoms, Differences, Causes, Treatment

Breast Milk Jaundice and Breastfeeding Jaundice Symptoms, Differences, Causes, Treatment


When does breast milk jaundice peak?
Breast milk jaundice should be differentiated from breastfeeding jaundice, which manifests in the first 3 days of life, peaks by 5-15 days of life, disappears by week 3 of life, and is caused by insufficient production or intake of breast milk.

If jaundice seen after the first week of life in a breastfed baby who is otherwise healthy, the condition may be called "breast milk jaundice." At times, jaundice occurs when your baby does not get enough breast milk, instead of from the breast milk itself. This is called breastfeeding failure jaundice.


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How do you fix breast milk jaundice?
As mentioned earlier, breast milk jaundice will go away by itself. This means that you do not have to seek treatment unless your child's bilirubin levels get too high. Treatment should occur if the bilirubin levels go higher than what the American Academy of Pediatrics (AAP) phototherapy guidelines recommend

Breast milk jaundice is a type of jaundice that occurs in neonates due to breastfeeding. It happens within the first week of life due to the abnormal accumulation of bilirubin, causing a yellowish discoloration to the neonate's skin known as jaundice. This activity reviews the evaluation and treatment of breast milk jaundice and explains interprofessional team members' role in managing patients with this condition.

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Jaundice, also known as hyperbilirubinemia, is a frequently encountered clinical problem in neonates. About 60-80% of all term or late-term, healthy newborns will develop some degree of hyperbilirubinemia.[1] The definition of neonatal hyperbilirubinemia has typically been total serum bilirubin (TSB) levels within the high-risk zone, or greater than the 95th percentile for age within the first six days of life.[1] When total serum bilirubin levels rise, a yellowish discoloration of the infant’s skin and sclera occurs and is referred to as jaundice. Neonatal hyperbilirubinemia has a higher frequency in breastfed infants compared to formula-fed infants.[2] The two common mechanisms for this are “breastfeeding jaundice” and “breast milk jaundice.”

References
1.
Ullah S, Rahman K, Hedayati M. Hyperbilirubinemia in Neonates: Types, Causes, Clinical Examinations, Preventive Measures and Treatments: A Narrative Review Article. Iran J Public Health. 2016 May;45(5):558-68. [PMC free article] [PubMed]
2.
Preer GL, Philipp BL. Understanding and managing breast milk jaundice. Arch Dis Child Fetal Neonatal Ed. 2011 Nov;96(6):F461-6. [PubMed]

Breast milk jaundice vs Breastfeeding jaundice
What is the difference between breastmilk jaundice and breastfeeding jaundice?
If jaundice seen after the first week of life in a breastfed baby who is otherwise healthy, the condition may be called "breast milk jaundice." At times, jaundice occurs when your baby does not get enough breast milk, instead of from the breast milk itself. This is called breastfeeding failure jaundice.

What type of jaundice is breast milk jaundice?
Suboptimal intake jaundice, also called breastfeeding jaundice, most often occurs in the first week of life when breastfeeding is being established. Newborns may not receive optimal milk intake, which leads to elevated bilirubin levels due to increased reabsorption of bilirubin in the intestines.