Jaundice
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Final Note
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Breastfeeding Basics sponsored by Medela
About Lesson

Breastfeeding and jaundice are commonly encountered together, and breastfeeding can play a positive role in managing jaundice in most cases. Here are some important points to consider:

Understanding jaundice: Jaundice is a condition characterized by yellowing of the skin and eyes due to elevated levels of bilirubin in the blood. It is common in newborns and usually resolves on its own within a few weeks.

Benefits of breastfeeding: Breastfeeding provides numerous benefits for babies, including hydration, nutrition, and antibodies that help fight infection. Breast milk also has a laxative effect, which can help with the passage of meconium (the baby’s first stool) and the elimination of excess bilirubin from the body.

Breastfeeding frequency: Frequent breastfeeding, at least 8 to 12 times per day, helps ensure that your baby receives enough milk and aids in the elimination of bilirubin through stool and urine. Aim for feeding on demand and waking your baby if necessary, especially in the first few days.

Encourage effective milk transfer: Allow your baby to nurse for as long as they desire on each breast, ensuring they receive the hindmilk, which is richer in fat and helps promote healthy weight gain. This can help support proper hydration and elimination of bilirubin.

Skin-to-skin contact: Engaging in skin-to-skin contact with your baby can help promote bonding, regulate body temperature, and stimulate breastfeeding. It can also aid in establishing a successful breastfeeding relationship.

Monitor output: Keep an eye on your baby’s wet and soiled diapers. Your baby should have at least 6 to 8 wet diapers and 3 to 4 yellow, seedy stools per day once breastfeeding is well established. Sufficient output indicates that your baby is getting enough milk and helps eliminate bilirubin from the body.

Seek medical advice: If your baby’s jaundice appears severe, if they are showing signs of dehydration, or if you have concerns about breastfeeding or milk transfer, consult your healthcare provider. They can assess your baby’s condition, provide guidance, and offer appropriate interventions if necessary.

If your baby has jaundice and you’re unable to breastfeed, there are alternative feeding options available to ensure your baby receives the necessary nutrition and hydration. Here are a few options to consider:

Pumping breast milk: If you’re unable to directly breastfeed, you can use a breast pump to express breast milk. This allows you to provide your baby with your milk through a bottle or alternative feeding method. Pumping regularly will help maintain your milk supply until your baby is able to breastfeed directly.

Donor milk: In some cases, when breastfeeding is not possible, donor milk may be an option. Donor milk is human milk that has been donated by other lactating individuals. It can be obtained through milk banks or other regulated sources. Consult with your healthcare provider to determine if donor milk is suitable for your baby.

Formula feeding: If breastfeeding or expressed breast milk is not an option, commercial infant formula can provide the necessary nutrition for your baby. Opt for an iron-fortified formula that is suitable for your baby’s age and follow the instructions for preparation and feeding.

It’s important to work closely with your healthcare provider to determine the best feeding option for your baby. They can assess your baby’s condition and provide guidance specific to your situation. Additionally, they can monitor your baby’s progress and jaundice levels to ensure appropriate management.

While it’s understandable that not being able to breastfeed can be disappointing, it’s important to remember that your baby’s health and well-being are the top priority. Feeding methods may vary based on individual circumstances, and with the right support and guidance, you can still provide your baby with the nutrition they need to thrive.