What are the typical symptoms of neonatal breast milk jaundice

What are the typical symptoms of neonatal breast milk jaundice?

It is characterized by the appearance of jaundice in newborns shortly after breastfeeding, which can last for weeks to months, while other aspects are normal. It is divided into early-onset breastfeeding jaundice and late-onset breastfeeding jaundice. The early-onset type is similar to the time of onset and peak time of physiological jaundice in newborns, but the highest value of breastfeeding jaundice should exceed that of physiological jaundice; after physiological jaundice, the jaundice of late-onset people gradually becomes obvious, that is, breastfeeding jaundice is often 7 to 14 days after birth. Whether it is early or late breastfeeding jaundice, once breastfeeding is stopped, jaundice will subside 3 to 5 days later; if breastfeeding is started again, most jaundice will no longer appear, and a few will reappear.

It has the following features:

1. Jaundice does not subside during the period of physiological jaundice, which occurs from 2 days to 2 weeks after birth, but it does not disappear with the disappearance of physiological jaundice.

2. The degree of jaundice is mainly mild and moderate (≥342μmol/L), severe jaundice is rare, and elevated unconjugated bilirubin is common.

3. In general, except for jaundice, the baby is completely healthy, breastfeeds well, urinates normally, gains weight satisfactorily, has no enlarged liver or spleen, and has normal liver function. HBsAg is negative.

4. Jaundice disappears quickly after stopping breastfeeding. After 72 hours, the jaundice is significantly relieved and the bilirubin drops rapidly to about 50% of the original level. When breastfeeding resumes, the serum bilirubin will rise to 17.1-51.3μmol/L1-3mg/dl within 1-2 days, and then slowly decrease for a period of time. The bilirubin in breast milk will drop to normal on its own.