>
>Hello, I am a nursing student at the University of North Dakota.  I was
>recently reading through the Lactnet archives and came upon breast-milk
>jaundice.  In reading about breast-fed jaundice I came to the
>understanding from one article that the etiology of this type of jaundice
>is still unknown. (Brown, Arnold, Allison, Klein, Jacobsen, 1993).  I also
>read that with severe, hyperbilirubinemia associated with breastfeeding
>that bilirubin encephalopathy can occur in healthy infants. (Tan,
>1998).  Encephalopathy is very dangerous and should not be taken lightly,
>but in one study some neonatologists and physicians would allow
>breastfeeding to continue without interruption even at levels of 30
>mg/dl. (Gartner, Herrarrias, & Sebring, 1998).  My question is in your
>practice when would you suggest stopping breastfeeding and if so at what
>bilirubin levels?
>
>Thank you for your time,
>
>Beth Lund
>Nursing Student
>University of North Dakota
>
>       Brown, L., Arnold, L., Allison, D., Klein, M., Jacobsen,
>B. (1993). Incidence and pattern of jaundice in healthy breast-fed infants
>during the first month of life. Nursing Research, 42(2), 106-109.
>
>       Gartner, L., Herrarrias, C., Sebring, R. (1998). Practice patterns in
>neonatal hyperbilirubinemia. Pediatrics, 101 (1), 25-36.
>
>       Tan, K. L. (1998). Decreased response to phototherapy for neonatal
>jaundice in breast-fed infants. Archives of Pediatric and Adolescent
>Medicine, 152 (1), 1187-1196.
>
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Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet, Indep. Consultant
Williston, Vermont
mailto:[log in to unmask]
LACTNET Archives http://peach.ease.lsoft.com/archives/lactnet.html

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