Question
The newborn was 34 days old when the doctor informed them that the jaundice had not yet subsided during vaccination. They inquired about the feasibility of using oral glucose powder and whether there are any dosage restrictions.
Answer
For full-term healthy infants, increasing feeding frequency to stimulate intestinal movement and reduce bilirubin absorption can help prevent early breastfeeding jaundice. When the bilirubin concentration reaches 250-270 umol/L, breastfeeding should be temporarily suspended for 48 hours and formula milk should be used instead until the bilirubin concentration falls within a safe range before resuming breastfeeding. When the bilirubin concentration reaches 256-342 umol/L, breastfeeding should be stopped, and formula milk should be used along with phototherapy, or phototherapy can be combined with continued breastfeeding. For premature and underdeveloped infants, when the serum bilirubin reaches 170 umol/L, breastfeeding should be stopped and phototherapy should be administered.