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SOURCE:http://www.nlm.nih.gov/medlineplus/ency/article/000995.htm

Definition

Breast milk jaundice is persistently high levels of bilirubin in a newborn’s blood caused by certain substances found in breast milk. Bilirubin is a yellow-colored fluid that forms when red blood cells break down.

Causes

If jaundice occurs or persists past the first week of life in an otherwise healthy and thriving breast-fed infant, the condition is called ”

Breast milk jaundice tends to run in families. It occurs equally often in males and females and affects approximately 0.5% to 2.4% of all newborns.

Symptoms

Jaundice causes the skin and parts of the eyes to turn a yellow color. Breast milk jaundice is prolonged jaundice in an otherwise healthy, breast-fed baby, which develops after the first week of life and continues up to the sixth week of life.

Exams and Tests

Laboratory tests that may be done include:

Bilirubin level (total and direct) Complete blood count Blood smear to look at blood cells Reticulocyte count to look at slightly immature red blood cells Blood typing In some cases, a blood test to check for glucose-6-phosphate dehydrogenase (G6PD) may be done. G6PD is a protein that helps red blood cells work properly.

Treatment

Treatment will depend on the baby’s bilirubin level. Often, this level is relatively low (less than 20 mg/dL). Sometimes no specific treatment is needed other than close followup.

More frequent nursing (up to 12 times a day) will increase the baby’s fluid levels and can cause the bilirubin level to drop.

If the bilirubin level is more than 20 mg/dL, different treatment options are available. The mother can stop nursing for 24 to 48 hours, which will cause the bilirubin level to rapidly drop. During that time she can express the milk or pump her breasts (to maintain her comfort and the flow of milk) while feeding the baby formula. In most cases, when nursing is restarted the bilirubin will not return to previous levels.

The baby may need to stay in the hospital to receive treatment if the bilirubin level is greater than 20 mg/dL.

Other measures such as phototherapy (bili lights) may be used in the hospital for a short period of time. However, home phototherapy options are available.

Fluids, given through a vein, can also help increase the baby’s fluid level and help lower bilirubin levels.

Possible Complications

With appropriate treatment, there are usually no complications. However, failure to receive timely and proper medical care can have severe consequences, since high bilirubin levels can be harmful to the baby’s brain and other organs.

When to Contact a Medical Professional

Call your health care provider immediately if you are breast feeding your baby and the baby’s skin or eyes become yellow (jaundiced).

Prevention

Breast milk jaundice cannot be prevented. When the condition occurs, it is very important to recognize the baby’s yellow color as early as possible and have bilirubin levels checked right away to make sure that there are no other liver problems.

Breast feeding jaundice can be limited by making sure your baby is getting enough breast milk. Give your baby unlimited time at each breast, and feed approximately 10 to 12 times per day starting the first day of life. Get help from a lactation consultant or your doctor as soon as possible if you have any difficulty.

More links

http://pregnancyandbaby.com/pregnancy/baby/Jaundice-in-breastfed-babies-_part-2_-364.htm

http://www.breastfeedingbasics.com/html/jaundice.shtml

http://www.askdrsears.com/html/2/t029600.asp



and also can ask Mr.Google with keyword “breastmilk and juandice baby”

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Salam.

Di copy dari Forum.
Thanks to Dr.Shiha.

Kain warna kuning takde langsung kaitan dengan jaundice.
Harap first time moms kat sini jangan cepat percaya dengan petua yang satu
ni ye, sebab asas logiknya langsung tak ada.

Petua yang paling penting, apa lagi, breastfeed la sebanyak dan sekerap
yang mungkin. Terutamanya waktu awal2 kelahiran, di mana baby still keluarkan
berak hijau (mekonium) tu.

Mekonium yang masih berkumpul di dalam badan baby akan meningkatkan paras
bilirubin di dalam darah baby – dan risiko utk mendapat jaundice menjadi lebih
tinggi. Manakala breastmilk, terutamanya kolostrum sebenarnya juga merupakan
sejenis ‘laksatif’ semulajadi dan ini boleh mempercepatkan pembuangan mekonium
dari badan baby. Oleh itu, bf sekerap mungkin kalau baby kita ada possibility
nak dapat jaundice

Petua kedua penting – jemur baby waktu panas pagi (dari pukul 8 pagi
sampai 10 pagi). Biar baby pakai pampers aje. Tak perlu jemur kat luar rumah,
cukup kat kawasan (wpun dlm rumah) yang masuk sinar matahari, cthnya kat tepi
tingkap atau bawah porch. Sebabnya digalakkan berjemur (kalau p kat hosp. pun,
letak bawah lampu UV tu kira berjemur la tu), supaya cahaya UV dari sinaran
matahari akan menyerap ke dalam kulit baby dan membantu untuk proses metabolisme
bilirubin tadi. Penting untuk membantu mempercepatkan proses penyembuhan
jaundice. Sebab tu biar kulit baby terdedah semaksimumnya – cukup pakai pampers
aje.

Untuk petua – petua yang lain (kecuali yg kain kuning tu), kalau nak
cuba, silakan tapi takde scientific evidence la buat masa ini. Satu lagi jenis
petua yg perlu dielakkan, yang jenis baby kena minum/makan sesuatu dlm kuantiti
yg banyak – cth, susu kambing etc. Yg ni sebenarnya lebih membahayakan keadaan
baby. Takut bila dia kenyang minum susu kambing tu, dia kurang menyusu badan,
dan lagi lambat jaundicenya nak sembuh.
Wallahua’lam.

Link about Jaundice

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