#ir #peds
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 cause is not completely understood, one explanation is that β- glucuronidase present in breast milk deconjugates bilirubin in the intestinal tract; the unconjugated bilirubin is then reabsorbed via enterohepatic circulation. Breast-milk jaundice can persist for up to 12 weeks, but total bilirubin concentration rarely, if ever, reaches concerning levels. The time course of breast-milk jaundice is quite different from that of physiologic jaundice.
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CLIPP 8 - neonatal jaundice"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. <span>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 cause is not completely understood, one explanation is that β- glucuronidase present in breast milk deconjugates bilirubin in the intestinal tract; the unconjugated bilirubin is then reabsorbed via enterohepatic circulation. Breast-milk jaundice can persist for up to 12 weeks, but total bilirubin concentration rarely, if ever, reaches concerning levels. The time course of breast-milk jaundice is quite different from that of physiologic jaundice.
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In pathological processes hemolysis causes breakdown of red blood cells (RBCs). The hemoglobin released is metabolized to unconjugated bilirubin, which r Summary
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