As a matter of fact, the cause of breast milk jaundice is still unclear, so Ma Bao need not rush to blame himself. Although the prognosis of the disease is good and severe patients need hospitalization, enough attention should be paid to promote the smooth progress of breastfeeding.
What is breast milk jaundice?
Breast milk jaundice, as its name implies, is jaundice caused by breast feeding. Most of this situation is that the baby's skin is rosy at birth, but it turns yellow soon after breastfeeding, but the baby's health is completely unaffected.
Breast milk jaundice usually appears 4-5 days after birth. Normal full-term infants reached the peak in 4-6 days and subsided in 7- 10 days. Premature babies can last for 2-3 weeks, and babies with breast milk will last for 1-2 months. This is because after a baby drinks breast milk, it will decompose the fat in breast milk, thus producing fatty acids.
It is understood that about 10%- 15% infants who are mainly breast-fed will have breast-fed jaundice. However, parents can rest assured that breast-feeding jaundice will not have any impact on the baby's development and growth, but the skin color will be yellow during breastfeeding. Therefore, mothers can continue to breastfeed their babies with confidence according to their breastfeeding needs. If you want to know more about breast milk jaundice, you may wish to go to TOPKID online early childhood education.
What are the symptoms of breast milk jaundice?
Breast milk jaundice can be divided into early onset and late onset. Early onset usually occurs 4-5 days after birth, and late onset usually occurs 7- 14 days after birth, and the specific situation is gradually aggravated. Unbound bilirubin in blood can reach 10-30mg/dl, and the increased bilirubin level can last for 2-3 weeks, then slowly decrease, and gradually return to normal level in 3- 12 weeks. So what are the symptoms of breast milk jaundice?
1, the most obvious thing is that the mucosa, skin and other tissues are yellow, the baby's skin color will turn yellow, and the whites of the eyes will turn yellow. However, breast milk jaundice is mainly mild to moderate, and severe jaundice is rare, especially unconjugated bilirubin.
2. The baby's physical condition is generally good. Except jaundice, the baby is completely healthy, good at breastfeeding, with normal urination, satisfactory weight gain, small liver and spleen, normal liver function and HBsAg negative.
3. Jaundice quickly subsided after stopping breastfeeding. After stopping breastfeeding for 48-72 hours, jaundice was obviously reduced, and bilirubin quickly dropped to about 50% of the original level. After breast-feeding, serum bilirubin will increase within 1-2 days, and then decrease slowly after a period of time. Bilirubin in breast milk will automatically drop to normal and will not stop.
What is the cause of breast milk jaundice?
It is understood that the cause of breast milk jaundice is not very clear at present, but medical research experts generally believe that the appearance of breast milk jaundice is because the human body will decompose the fat in breast milk after drinking breast milk, thus producing fatty acids, which will inhibit the acid that decomposes bilirubin, leading to the persistence of jaundice, which will lead to the yellow skin color of infants during breastfeeding. Some experts also believe that breast milk jaundice is due to the fact that the mother's milk contains glucuronidase, which has a particularly high activity and makes bilirubin repeatedly absorbed in the baby's small intestine, so the baby has jaundice and persists.
What is the cause of breast milk jaundice?
Experts who support the above two statements specifically infer the following three reasons:
1. Breast milk contains pregnant 3α-20β diol, which inhibits the activity of liver glucuronidase.
2. The content of unsaturated fatty acids in breast milk is high, and the content of unsaturated free fatty acids in breast milk of mothers with breast milk jaundice is increased; Inhibition of liver glucuronosyltransferase.
3. The activity of β -glucuronidase in breast milk is high. The activity of β -glucuronidase in breast milk is much higher than that in milk and formula milk, which makes bound bilirubin decompose again and increase intestinal reabsorption until intestinal-hepatic circulation increases. β -glucuronidase plays a major role in it.
What about breast milk jaundice?
1, phototherapy: blue light can reduce serum bilirubin.
For full-term infants who have been diagnosed with breast milk jaundice, if the serum bilirubin is too high and exceeds the absolute peak of 220μmol/L, phototherapy can be used to reduce the peak first.
It was found that blue light with wavelength of 425 ~ 475 nm could reduce serum bilirubin. After this light, bilirubin will be transformed and excreted through urine and bile. Put the baby in front of the light box and cover his eyes with a black eye patch (gauze wrapped in black paper). Change his position every hour, increase the light area, pay attention to replenish water to the child to prevent dehydration. Generally, it is necessary to shoot continuously for 24 hours, or at an interval of 10 hour, and then continue shooting after half a day. The course of treatment is two to three days.
Children with less severe symptoms will turn yellow if they spend more time in the sun every day, because there is blue light in the sun. But when sunbathing, don't sunbathe through the glass. If the temperature exceeds 30℃, you can consider sunbathing your child naked, so that your skin can fully contact the blue light in the sun, but you should pay attention to covering your eyes.
2, feeding: the number of breastfeeding should be less.
In addition, should the problem of breastfeeding be reduced or even stopped? Although jaundice will obviously subside after stopping breastfeeding, breast milk is the most ideal food for babies, so it is not necessary to wean casually, and it is not necessary to adopt the mixed feeding method of breast milk and formula milk powder too early. Unless the serum bilirubin level is too high, it is recommended to suspend breastfeeding for three to five days. If you want to know more about breast milk jaundice, you may wish to go to TOPKID online early childhood education.
During this period, the mother sucks milk with a breast pump to maintain the full secretion of milk, and should continue breastfeeding after the child's jaundice is relieved. After that, even if the symptoms appear repeatedly, it is not recommended to wean for many times. You can appropriately consider changing the feeding method, such as breast-feeding for many times and drinking more water for your child. Generally speaking, with the growth of children's age, breast-feeding jaundice can gradually subside, which will not have much impact on the healthy development of babies.