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Breastfeeding jaundice
Happens early in the first week of life and occurs when the milk supply is relatively or absolutely low, resulting in limited enteral intake. This may be referred to as a "lack-of-breast milk jaundice" or "breastfeeding- associated jaundice." The low intake results in decreased gastrointestinal motility that in turn promotes retention of meconium. The β-glucuronidase in meconium deconjugates bilirubin and the unconjugated bilirubin is reabsorbed via the enterohepatic circulation, causing an elevation of serum levels. Breast milk production typically increases greatly once "let-down" occurs. Occasionally, persistently low volume of breast milk can cause the neonate to become dehydrated and malnourished. Breastfeeding jaundice is often difficult to distinguish from physiologic jaundice.
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CLIPP 8 - neonatal jaundicereastfeeding
Some clinicians divide this into two separate entities--breastfeeding jaundice and breast-milk jaundice. There is probably overlap, where a combination of both of these problems occurs simultaneously.
1. <span>Breastfeeding jaundice
Happens early in the first week of life and occurs when the milk supply is relatively or absolutely low, resulting in limited enteral intake. This may be referred to as a "lack-of-breast milk jaundice" or "breastfeeding- associated jaundice." The low intake results in decreased gastrointestinal motility that in turn promotes retention of meconium. The β-glucuronidase in meconium deconjugates bilirubin and the unconjugated bilirubin is reabsorbed via the enterohepatic circulation, causing an elevation of serum levels. Breast milk production typically increases greatly once "let-down" occurs. Occasionally, persistently low volume of breast milk can cause the neonate to become dehydrated and malnourished. Breastfeeding jaundice is often difficult to distinguish from physiologic jaundice.
2. Breast-milk jaundice
Begins in the first 4 to 7 days of life but may not peak until about 10 to 14 days. Not the result of low breast milk volume. While the Summary
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