All are true about breast milk jaundice except:
There is unconjugated hyperbilirubinemia
Some babies need treatment with phototherapy
Breast feeding is contraindicated
It is common in the second week of life
Breast feeding is not contraindicated in breast milk jaundice. Mothers are advised to continue breastfeeding at frequent intervals Breastmilk jaundice is seen in about 2-4% of exclusively breastfed babies. There is significant unconjugated hyperbilirubinemia after the 7th day and may last for 2-3 weeks. This may be caused by the breast milk that might contain beta-glucoronidase, which deconjugates intestinal bilirubin and promotes its absorption and other inhibitors of glucuronyl transferase. Persistently high bilirubin levels may require changing from breast milk to infant formula for 24-48 hours and/or treatment with phototherapy, without cessation of breastfeeding. Ref: Ghai essentials Pediatrics 9th edition Pgno: 168
Nutrition