A 4wk girl has been dx of having breast milk jaundice. She is otherwise well. What is the single
most appropriate management?
a. Continue breastfeeding
b. Exchange transfusion
c. Increase fluid intake
d. Phototherapy
e. Stop breastfeeding
answer A..........infant is well, BMJ is benign mostly, if unwell or bilirubin very high > phototherapy or stop breast feeding
Breast Milk Jaundice
• 1 per 200 breastfed infants
• glucuronyl transferase inhibitor found in breast milk
• onset 7 d of life, peak at 2-3 wk of life, usually resolved by 6 wk
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