How is breast milk jaundice diagnosed?

Updated: Dec 07, 2017
  • Author: Prashant G Deshpande, MD; Chief Editor: Muhammad Aslam, MD  more...
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Answer

Breast milk jaundice (BMJ) is a diagnosis of exclusion. Note the following:

  • A detailed history and physical examination showing that the infant is thriving and that lactation is well established are key elements to diagnosis. Breastfed babies should have 3-4 transitional stools and 6-7 wet diapers per day, and they should have regained their birth weight by the end of the second week of life or demonstrate a weight gain of 1 oz/day.

  • Measure the total serum bilirubin concentration in neonates who have jaundice that has progressed from the face to the chest, as well as in neonates who are at risk for hemolytic disease of the newborn.


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