Question
Main Symptom: Face yellowing Onset Time: 34 days after birth Detailed Laboratory Test Results: Alanine Aminotransferase 29.8, Aspartate Aminotransferase 59.1, Total Bilirubin 146.6, Direct Bilirubin 17.1, Indirect Bilirubin 129.5; Urine test negative (once) Breast Milk Test Results: Positive, 1.83 x 10^3 Past Treatment and Effectiveness: After stopping breastfeeding for one day, the jaundice decreased Question: Can breastfeeding continue?
Answer
As the jaundice has not yet completely subsided, considering the possibility of breast milk jaundice is relatively high, it is generally recommended to stop breastfeeding for three days until the jaundice is mostly resolved before resuming breastfeeding. Additionally, it is necessary to confirm whether the child’s cytomegalovirus test results are negative. If the child’s cytomegalovirus IGM is positive or the cytomegalovirus DNA is positive, the child may require anti-cytomegalovirus treatment. If the mother’s cytomegalovirus IGM is positive, it is advised not to change diapers temporarily as this may increase the risk of virus transmission to the child.