What is Jaundice?
Jaundice is a common condition in newborns, characterized by yellowing of the skin and eyes. While it may be alarming for new parents, infant jaundice is typically harmless and temporary. In this article, we will explore the causes and factors that contribute to the development of infant jaundice, shedding light on this common condition and reassuring parents about its usually benign nature. We will also share some essential tips and guidelines for breastfeeding a baby with jaundice.
Understanding Jaundice in Newborns
Infant jaundice, also known as neonatal jaundice, occurs when there is an excess of bilirubin in a baby’s blood. Bilirubin is the yellow pigment that is formed during the breakdown of red blood cells. A newborn baby’s liver may not yet be fully capable of efficiently processing bilirubin so this leads jaundice in newborns. In most cases, jaundice is a normal and temporary condition that typically appears around the second or third day of life and peaks at about one week. After a while it gradually resolves on its own without causing harm to the baby.
5 Common causes of jaundice in newborn infants
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1.) Physiological issues
The most common cause of infant jaundice is physiological jaundice. This type of jaundice occurs because a newborn’s liver is not yet fully matured. Consequently, the baby’s liver may struggle to efficiently process and excrete bilirubin. Physiological jaundice typically appears within the first few days after birth and tends to resolve without medical intervention. Premature babies are more likely to develop jaundice because their livers are less mature.
2.) Breast Milk
Some breastfed babies may develop a type of jaundice called breast milk jaundice. This condition occurs when substances in a mother’s breast milk interfere with the baby’s ability to eliminate bilirubin. Breast milk jaundice may last longer than physiological jaundice but is generally harmless and typically resolves on its own.
3.) Hemolysis
Hemolytic jaundice results from an increased breakdown of red blood cells, leading to higher bilirubin levels. Conditions such as Rh or ABO incompatibility or certain genetic disorders can cause hemolysis and jaundice in newborns. Medical intervention may be necessary in these cases.
4.) G6PD Deficiency
Glucose-6-phosphate dehydrogenase (G6PD) deficiency is a genetic condition that can lead to hemolysis and jaundice in newborns when triggered by specific medications, infections, or dietary factors. Prompt diagnosis and management are crucial. Babies of East Asian or Mediterranean descent may also be at a higher risk of G6PD deficiency.
5.) Blood Type Incompatibility
When a baby’s blood type is incompatible with that of the mother, it can lead to both hemolysis and jaundice. For example, if the mother is a type A and the baby is type B or AB or if the baby is type A but the mother is type O then the mother’s blood cells may develop antibodies that cause jaundice in the newborn child. Remember to get a blood test during the early phases of pregnancy.
Tips for Breastfeeding A Baby with Jaundice
Breastfeeding is not only safe but also beneficial and highly recommended for babies with jaundice. Breast milk provides essential nutrients and hydration while promoting good digestion. In fact, breastfeeding can help reduce bilirubin levels more effectively than other forms of feeding. You just need to make certain adjustments to your breastfeeding routine.
Here are 5 important guidelines to follow when breastfeeding a baby with jaundice. By following these guidelines and monitoring your baby’s condition closely, you can ensure that your little one receives the necessary care and nourishment during their journey.
1.) Watch for signs of hunger
Pay close attention to your baby’s cues for hunger. Early feeding cues include rooting, sucking on hands, or making smacking noises. Feeding your baby when they show these signs can help maintain consistent milk intake.
2.) Feed the baby more frequently
Jaundiced babies should be fed frequently to help flush out excess bilirubin from their system. Aim for at least 8 to 12 breastfeeding sessions in 24 hours. Wake your baby if necessary to ensure they are feeding regularly. Ensure your baby gets both foremilk and hindmilk during each feeding. Allow them to nurse on one breast until they naturally release it, and then offer the other breast. This ensures they receive the nutrient-rich hindmilk, which helps promote weight gain.
3.) Monitor Diaper Output
Frequent wet and dirty diapers are a good indicator that your baby is getting well-fed with enough milk. Remember to monitor your baby’s diaper output on a regular basis and expect at least six wet diapers and three or more bowel movements per day.
4.) Monitor Jaundice Levels
Your healthcare provider should regularly check your baby’s bilirubin levels. They will determine if the levels are within a safe range or require further intervention. If bilirubin levels continue to rise despite breastfeeding then other medical interventions may be recommended.
5.) Seek Lactation Support
If you encounter breastfeeding difficulties, consult with a lactation consultant or a healthcare provider experienced in breastfeeding and jaundice management. They can provide guidance and support tailored to your specific situation. It is important to always consult with your healthcare provider for the most appropriate advice and guidance for your specific situation. Feel free to click here to schedule a consult today.
In Conclusion
Infant jaundice is a common and usually benign condition that affects many newborns. While it can be concerning for parents, most cases of jaundice resolve without complications. It’s essential for healthcare providers to monitor bilirubin levels and assess the baby’s overall health. If jaundice is severe or persists beyond the usual timeframe, medical intervention may be required. However, with proper care and attention, the vast majority of babies with jaundice go on to grow and thrive without any lasting effects from this common newborn condition.
If you found this article on jaundice causes and recommendations to be informative then please don’t forget to share. You may also be interested in a previous post on The Importance of Skin to Skin Care After Birth.
Kathy