Can children have breast milk jaundice, can they breastfeed?

Do you want to breastfeed? The whole family is tangled for a month ...

Breast milk is a natural food of a baby, which has an irreplaceable effect on the healthy growth and development of the baby. In order to protect, support and promote the international consensus and universal requirements of breastfeeding, the World Health Organization and the United Nations Foundation proposed in 1990 to designate August 1-7 of each year as "World Breastfeeding Week".

However, parents always give up breastfeeding for various reasons. In the clinical work of pediatrics, especially in pediatric outpatient emergency, we often see parents who are tangled with breastfeeding because of infants are diagnosed with "breast milk jaundice".

Case diagnosis and treatment

Parents of children:

Doctor, my child is more than 1 month old. I want you to see if you can eat breast milk?

Pediatrician

Do children like breast milk? Or do you have any concerns?

Parents of children:

It was already ready to give the child breastfeeding, but when the child took the second needle B vaccine, he found that the child had jaundice. The doctor in the community hospital said it was breast milk jaundice. milk powder. When we resumed 7 days later, the doctor said that the child's jaundice was reduced a lot, which was basically normal, and he could get vaccine.

But I heard that the child is breast milk jaundice, which is bad to eat breast milk. But I was sad.

Pediatrician

Breast milk jaundice is a common problem for babies at this age. If the child has no other problems, it will continue to be good for breast milk and grow well. You only need to pay attention to observing whether the child's jaundice worsen, and the child's breast milk will increase later?

Parents of children:

After the child was breast -fed, it grew very well for more than 10 days. The jaundice did not worsen, and the second needle B vaccine was also beaten.

Pediatrician

The child has eaten breast milk for more than 10 days. Since there is no adverse reaction again, jaundice has not worsened, and vaccines can bear it. It proves that there is no problem with breast milk.

Parents of children:

But I'm still scared. I heard that a lot of children have breast milk and eat problems. Do we have to worry about the children's jaundice again when we eat milk powder?

Pediatrician

Everyone should pay attention to observing the child's health, and we need to regularly check for regular medical examinations. In addition, if the child has severe genetic metabolic liver disease, jaundice will occur like milk powder. Just breastfeed.

Parents of children:

Okay, okay, we continue breastfeeding, thank you doctor!

Puzzle

one

What is breast milk jaundice?

Generally refers to the jaundice of breastfeeding babies that appear 4 to 7 days after birth, and reached the peak of 2 to 4 weeks. The general conditions of the child are in good condition and the manifestations of non -hemolytic or anemia. Jaundice generally lasts for 3 to 4 weeks, and gradually fades in the second month, and a few can be extended until 10 weeks.

If the breastfeeding is stopped for 3 to 4 days during the jaundice period, the jaundice is significantly reduced, and the bilirubin decreases ≥50%. If breastfeeding is fed again, jaundice does not necessarily appear again, even if it appears, it will not reach the original level.

With the increase of breastfeeding rate, the incidence of breast milk jaundice has increased year by year, and it has reached 20%to 30%. Most breast milk jaundice lasted for 3 weeks to 3 months. It is generally good for breastfeeding.

two

Why does breast milk jaundice happen?

The cause of breast milk jaundice has not been fully clear so far, and the diagnosis of breast jaundice is also an exclusive diagnosis, that is, for breastfeeding babies, jaundice that cannot be found for other reasons is temporarily diagnosed as breast milk jaundice.

Based on the occurrence of jaundice, breast milk jaundice is divided into two types: early and late.

Early breast milk jaundice, the occurrence time is similar to physiological jaundice. It is believed that it is mainly related to improper breastfeeding and insufficient intake.

Late breast milk jaundice, most scholars believe that the increase in intestinal and liver circulation of neonatal bilirubin metabolism often occurs 1 to 2 weeks after birth, which can last until 8 to 12 weeks.

The content of glucosamide in the small intestine in the small intestine of the small intestine and high activity. This enzyme that is mainly derived from breast milk can catalyze bilirubin into unbound bilirubin. Biliary redness is not combined with bilirubin by this enzyme, and breastfeeding jaundice can occur.

three

How long is it better to breastfeed?

At present, the most basic principles of the world ’s breastfeeding concept is that it is recommended to feed pure breast milk at the beginning of the first 6 months after the birth of the newborn, and then feed the food with continuous breastfeeding and adding appropriate food to supplement. Or longer.

Four

What are the cases of breastfeeding?

1. Doubt or clearly diagnose genetic metabolic diseases, such as gymnosemia.

2. Mother suffers from active tuberculosis and HIV virus infection.

3. The mother is receiving the therapy of isotopes.

4. Mother is receiving anti -metabolic drugs and other chemotherapy drugs, or receiving other drugs that can be secreted by milk until completely cleared.

5. The mother stopped breast milk during drug abuse and was completely cleared.

6. Mother's breasts simple herpes virus infection, the other side has no infected breasts to continue feeding.

7. Patients with severe diseases should stop breastfeeding, such as chronic nephritis, malignant tumors, mental illness, epilepsy or mental dysfunction.

8. The mother is not an absolute taboo for breastfeeding for hepatitis virus.Sanyang maternal liver function is normal, and the baby can breastfeed after active and passive immunity.Special reminder: When there is the above situation, be sure to consider whether to stop breastfeeding after consulting the doctor.

references :

1. Wang Weiping, Sun Yan, Chang Liwen. Pediatrics [M]. Beijing: People's Health Press, 2018.

2. Xu Sensin. Frequently illness of pediatrics [M]. Shanghai: Shanghai Science and Technology Education Press, 2018.

This article is the first: pediatric channel in the medical community

Author of this article: Xu Simin, chief physician of Qingpu Branch of Zhongshan Hospital affiliated to Fudan University

Editor in charge: Wen Jiaxin

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