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Whereas breastfeeding jaundice is a mechanical problem, breast milk jaundice is a biochemical occurrence and the higher bilirubin possibly acts as an antioxidant. Breast milk jaundice occurs later in the newborn period, with the bilirubin level usually peaking in the sixth to 14th days of life.
Breast milk jaundice is caused by an increased concentration of β-glucuronidase in breast milk, which increases bilirubin deconjugation and reabsorption of bilirubin, leading to persistence of physiologic jaundice with unconjugated hyperbilirubinemia. Onset of breast milk jaundice is within 2 weeks after birth and lasts for 4–13 weeks.
Breast milk jaundice is jaundice that persists despite appropriate weight gain. [40] This type of jaundice may start as breastfeeding jaundice and persist, or may not appear until after the baby has begun to gain weight, typically around 4–5 days old. [10]: 34–47 [40] It often persists beyond the second and third weeks of life. [40]
The mature breast milk is rich in fat and higher in calories to help babies grow." ... Between difficulties with latching and manual pumping and a few hospital stays with her son for jaundice, a ...
774 Other perinatal jaundice. 774.2 Jaundice, newborn, prematurity; 774.3 Jaundice, newborn, unspec. 774.3 Lucey-Driscoll syndrome. 774.39 Jaundice, newborn, breast milk; 775 Endocrine and metabolic disturbances specific to the fetus and newborn. 775.0 Infant of diabetic mother syndrome; 775.4 Hypocalcemia; 775.6 Hypoglycemia, neonatal
In the gut, brush border β-glucuronidase converts conjugated bilirubin to the unconjugated form for reabsorption. β-Glucuronidase is also present in breast milk, which contributes to neonatal jaundice. The protein is encoded by the GUSB gene in humans [6] [7] and by the uidA gene in bacteria. [8]
Colostrum gives the milk a yellowish hue Bovine colostrum (beestings) next to spray-dried colostrum powder. Colostrum (from Latin, of unknown origin) is the first form of milk produced by the mammary glands of humans and other mammals immediately following delivery of the newborn. [1]
Contraindications to breastfeeding are those conditions that could compromise the health of the infant if breast milk from their mother is consumed. Examples include galactosemia, untreated HIV, untreated active tuberculosis, Human T-lymphotropic virus 1 or II, uses illicit drugs, or mothers undergoing chemotherapy or radiation treatment.