"Introduction" Breastmilk is a natural nutritious food for babies, which plays an important role in promoting growth and development and strengthening the body. But experienced mothers know that during breastfeeding, babies are prone to a newborn jaundice disease called breast milk jaundice. So what are the causes and symptoms of breast milk jaundice? What should I do if my baby suffers from breast milk jaundice? What can you do to prevent breastfeeding jaundice in babies? The next step is to find out more about it.

From the changes in the skin can probably deduce whether the baby got jaundice, originally the skin is more ***, but after a period of time the skin will be yellow, if normal this phenomenon will subside, this is physiological jaundice caused by so do not worry. But after feeding the baby breast milk, the physiological jaundice has not been reduced, and 2 days do not breastfeeding, jaundice and slowly subside, it is possible to show that the baby is breast milk jaundice.

In fact, breastfeeding jaundice does not usually cause more harm to the baby, after breastfeeding jaundice to stop breastfeeding in time, jaundice will be weakened in 2-4, after a week of breastfeeding jaundice symptoms basically can be completely subsided. The baby's bowel movements are normal, and the baby will also show weight gain, have normal liver function, and be negative for HBsAG.

When breastfeeding is stopped, the jaundice decreases significantly and the bilirubin drops to about 50% of its original level. However, if breastfeeding is resumed, the serum bilirubin will rise again, but only for a short period of time and then slowly decrease. The bilirubin is elevated in babies with jaundice, and when the jaundice subsides, the bilirubin will gradually return to normal levels after 3 weeks.

But if your baby's bilirubin remains high, breastfeeding jaundice can develop into another condition called kernicterus, which is not good because your baby can become deaf and have developmental delays.

How to determine breast milk jaundice

Jaundice is the most common symptom of the newborn period, about 60% of children will varying degrees of this symptom, parents do not panic in this case, according to the time of jaundice, the degree of jaundice, the development of speed to make a preliminary judgment, physiological jaundice do not have to worry too much about it, if the jaundice degree of severity, the development of fast speed, it may be a pathologic jaundice, should be sent to the hospital for treatment. The first thing you need to do is to take a look at the color of your skin and the color of your skin.

There are several causes of jaundice in newborns: physiological jaundice, breast milk jaundice, hemolytic jaundice, obstructive jaundice and so on.

Among them, breast milk jaundice is a special type of pathologic jaundice that occurs as a result of breast milk consumption. As breast milk contains progesterone hormone, it can inhibit the vitality of glucuronosyltransferase in the liver of newborns, so that the bilirubin in the blood can not be metabolized and excreted in a timely manner, and the concentration increases, appearing as yellow staining of the skin and sclera of newborns.

How to determine breast milk jaundice? This has become a problem for rookie moms.

Although breastmilk jaundice lasts for a long time, up to 1 to 2 months, the baby is generally in good condition, with no abnormalities in mental development and appetite, and is quiet and not irritable, such jaundice is called breast milk jaundice. If the mother is not sure, you can temporarily stop breastfeeding for 24 to 48 hours, the jaundice will be significantly reduced, and then feeding, jaundice may reappear, but lighter than before, with this method can be ruled out pathological jaundice.

Breastfeeding jaundice does not affect the child's health, and there are no symptoms of fever or poor appetite. If you stop breastfeeding in time, the jaundice will diminish in about 2-4 days and disappear in 6-10 days. Breastfeeding jaundice need not be alarmed, stop breastfeeding can be temporarily replaced by milk, and continue to breastfeed when jaundice improves.

The cause of breast milk jaundice

Breast milk jaundice refers to the idiopathic jaundice associated with breastfeeding, clinical main feature is that jaundice occurs soon after breastfeeding of newborn babies, but there are no other systemic symptoms, and it is common in full-term babies. There are a lot of mothers do not understand: why the baby will suffer from breast milk jaundice? Here hurry to follow the mother network encyclopedia to understand it!

The reason for its occurrence is currently believed to be mainly due to the increase in the intestinal - hepatic cycle of bilirubin metabolism in newborns, due to the breastmilk itself, the main reasons are:

1, breastmilk contains pregnane 3α-20β diol Breastmilk jaundice in the mother of a child with jaundice mother's breastmilk contains pregnane 3α-20β diol inhibits the activity of hepatic glucuronosyltransferase.

2, high content of unsaturated fatty acids in breast milk Breast milk of children with jaundice in the mother's breast milk unsaturated free fatty acid content increases, the liver glucuronosyltransferase inhibition.

3, high activity of β-glucuronidase in breast milk The activity of β-glucuronidase in breast milk is much higher than that of cow's milk and formula milk, so that the bilirubin that has been combined with bilirubin re-decomposition, small intestinal reabsorption increased to the intestinal - hepatic circulation increased. β-glucuronidase plays a major role in this.

Can breast milk jaundice be repeated

Can breast milk jaundice be repeated? The answer is yes it does!

In both early and late-onset breastmilk jaundice, the jaundice subsides once breastfeeding is stopped for 3-5 days. If you start breastfeeding again, the jaundice will reappear. Breast milk jaundice lasts longer than normal physiologic jaundice, in some cases up to 1-2 months, but can be distinguished from hepatitis by laboratory tests. In this case, mothers are advised to suspend breastfeeding for 3-5 days while taking oral anti-yellowing medication. During the period of breastfeeding suspension, breastmilk can be sucked out with a breast pump to ensure continuous milk secretion, and then breastfeeding can be resumed after the baby's jaundice is reduced or subsides. After that, you do not need to stop breastfeeding even if you have mild jaundice. If the jaundice is severe, you still need to check your bilirubin, and if necessary, you also need blue light irradiation.

In addition, the jaundice indicator is very high need to suspend breastfeeding, suspend breastfeeding during the period, the application of breast pumping breastmilk out, in order to maintain the milk secretion, to be jaundice subside after the resumption of breastfeeding, the child is older after the development of liver enzymes are more perfect, it is not easy to appear jaundice again.

What about breast milk jaundice

The incidence of jaundice in newborns is about 50 percent, and it usually subsides automatically. However, with the increase in breastfeeding, the detection rate of breast milk jaundice has increased significantly. According to statistics, breast milk jaundice can account for more than 20% of the incidence of jaundice in newborns, and breast milk jaundice usually lasts for 2~3 months. Then, jaundice has not subsided, how to do?

1, phototherapy: blue light can make serum bilirubin down

For the diagnosed breastfeeding jaundice full-term babies, if the serum bilirubin is really too high, more than 220 μmol / L of the absolute peak value, you can first through the phototherapy to bring down the peak value.

Research has found that serum bilirubin can be brought down by blue light with a wavelength of 425-475nm. After irradiated by this light, bilirubin will be transformed and excreted through urine and bile. The baby will be placed in the light box before the application of black eye mask (gauze wrapped in black paper) to cover the eyes, every hour to change *** to increase the area of light, and should pay attention to the pediatric supplemental water to prevent dehydration. Generally should be 24 hours of continuous illumination, or 10 hours of intervals, rest half a day and then continue to shine, the course of treatment for two to three days.

And the symptoms are not too serious children, more sunshine every day can also be yellow, because the sun also has a blue light in the presence. But the sun can not be separated from the glass, to be exposed to sunlight, if the temperature is more than 30 ℃, consider letting the child naked sun, let the skin enjoy contact with the blue light in the sun, but pay attention to cover the eyes.

2, medicine treatment: take MianYinChen soup to help reduce jaundice

clinically commonly used YinGiYangHuang injection to reduce the jaundice symptom of children, but a few days ago because of a company in Shanxi production of YinGiYangHuang injection to a newborn death, so there are hospitals for the prudent, suggest that let the children to change to take YinGiYangHuang oral liquid, YinGiYangHuang particles or boil MianYinChen soup. However, experts think, Yin gardenia yellow injection is has been used for more than 30 years of old medicine, efficacy has been recognized, this accident is the quality of the drug out of the question, formula should be no problem.

3, feeding: breastfeeding should be a small number of times

In addition, whether should reduce or even stop breastfeeding problem? Although jaundice will subside significantly after stopping breastfeeding, breast milk is the ideal food for small babies, so don't just cut off the milk, and don't need to take a mixture of breast milk and formula feeding method too early. Unless the serum bilirubin value is too high, it is recommended to suspend breastfeeding for three to five days.

During this period, the mother should suck out the milk from the breast pump to maintain adequate milk secretion, and continue to breastfeed even after the jaundice has subsided. Thereafter, even if the symptoms appear to recur, do not advocate multiple weaning, but may be appropriate to consider changing the feeding method, such as: switch to multiple small amount of breastfeeding method, and appropriate to give the child more water. In general, as the child's age increases, breast milk jaundice can gradually subside, and will not have a major impact on the baby's health and development.

What is breast milk jaundice

What is breast milk jaundice? Breast milk jaundice, as the name suggests, is jaundice caused by breastfeeding. In most cases, the skin of the baby is red at birth but turns yellow soon after breastfeeding, although the baby's health is not affected at all.

Breastmilk jaundice usually appears 4-5 days after birth. In normal full-term babies, breastmilk jaundice reaches its peak in 4-6 days and subsides in 7-10 days, and in premature babies it can last for 2-3 weeks, and in breastfeeding-dominant babies, it lasts for 1-2 months. This is because babies drink breastmilk and then break down the fats in the breastmilk, which results in the production of fatty acids, which suppress the breakdown of the bilirubin The fatty acids inhibit the breakdown of bilirubin, causing the persistent condition of jaundice.

It is known that about 10-15% of babies who are predominantly breastfed will have breast milk jaundice. However, baby moms and dads can rest assured that breast milk jaundice will not have any effect on the development and growth of the baby, only the skin color will be a little yellow during breastfeeding. So the moms and dads can rest assured that they can continue to breastfeed their babies according to their breastfeeding needs.