The syndrome of "breast milk jaundice
," as described in textbooks and older literature, has its onset after the 3rd day of life, peaks at 5 to 15 days, and seems to be caused by substances in the milk itself which have not yet been identified with certainty.(68) Typically, serum bilirubin drops quickly when breast-feeding is interrupted for 18 to 24 hours and does not return to previous levels when breast-feeding is resumed, though some jaundice may persist for weeks.
Further, "breast milk jaundice
" is a very specific, uncommon ailment that doesn't manifest until several days after birth.
224 ABO incompatibility 108 Rh Incompatibility 31 G6PD deficiency 35 Sepsis 36 Cephalhematoma 15 Intrauterine infection 7 Breast Milk jaundice
6 Hypothyroidism 4 Idiopathic 54 Note: Table made from bar graph.
It can distinguish infants with cholestasis and liver disease from those with unconjugated hyperbilirubinemia, which may be caused by physiologic jaundice or breast milk jaundice
Breast milk jaundice
occurs with such frequency that careful anticipatory guidance provided during later pregnancy is a physician's time well spent.
A subsequent police investi- gation into Saffron's death found no history of illness - she had been suffering from a non-related condition known as breast milk jaundice
- nor of injury, neglect or cruelty.