How can breastfeeding be supported through hyperbilirubinemia?
A. Jaundice is common in newborns and is usually normal, but can sometimes be a sign of serious illness. When jaundice is present in infants under 24 hours of age, it is never normal and needs further medical assessment. “Jaundice” is non-specific term referring to yellowing of the skin from bilirubin. Because some jaundice can be normal, the term “hyperbilirubinemia” more accurately indicates a need for medical attention. When measuring bilirubin levels, the upper limit of normal varies depending on the age of the infant. Hyperbilirubinemia can be a sign of inadequate milk transfer. It does not usually mean that a baby needs to take formula, but should prompt an evaluation by a certified lactation consultant. Frequent nursing can help jaundice resolve more quickly, provided there is audible or visible swallowing, which indicates that the baby is actually getting milk. According to the Academy of Breastfeeding Medicine, supplements are not indicated in the infant with bilirubin levels
