Question
The neonate’s bilirubin level was 12 on the third day after birth, rising to 14 on the fourth day, and reaching 16.8 on the fifth day, prompting a transfer to a hospital for treatment. Examination revealed a small amount of intracranial hemorrhage, and the neonate is currently receiving treatment in the hospital. The neonate’s facial and body jaundice has significantly improved.
Answer
To determine if a neonate has breastfeeding jaundice, observe the reaction before and after feeding. Generally, breastfeeding should not be stopped unless the bilirubin level exceeds 20mg/dL, in which case formula milk should be temporarily used. If the jaundice improves within 48 hours, breastfeeding can be resumed; at this point, bilirubin levels may slightly rise by 2 to 4mg/dL, but this is harmless to the neonate. Jaundice caused by breastfeeding usually disappears completely within 1 to 3 months.