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Wed, 26 Jan 2011 23:23:22 -0500 |
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Gilbert's Syndrome is a common genetic disorder that causes reduced
activity of the primary enzyme that conjugates bilirubin, which normally
allows it to pass into the intestines for excretion. Uncongugated
bilirubin can build up higher than normal levels whenever there is
greater production of bilirubin, such as in the newborn period when
fetal hemoglobin is being recycled into bilirubin, during excessive
breakdown of red blood cells (hemolysis) or excessive production of
bilirubin (illness). Other than in infancy when it is a major cause of
jaundice, it is rarely a problem in adulthood, except at times of
metabolic stress. Starvation and illness increase bilirubin production,
and may allow an adult with Gilbert's to become jaundiced, hence the
need to eat well.
I'm pretty sure uncongugated bilirubin does not pass into milk, since
it's insoluble. So even if the donor with Gilbert's syndrome does become
jaundiced, her milk should be perfectly safe. She'll need to make sure
to consume the calories she expends in producing extra milk to avoid
impacting her own health.
Catherine Watson Genna BS, IBCLC NYC cwgenna.com
On 1/26/2011 8:26 PM, Ami Burnham wrote:
> hello all
> i have a client who has been getting donor breastmilk from friends (after they are screened, tested etc) she has someone willing to donate who has Gilberts Syndrome and is wondering if it is ok to give her 8 month old this milk. the donor is otherwise completely healthy. i have been unable to find any information online in regards to the safety of her milk, does anyone out there know? or have ideas on where i could look?
> thanks so much
> ami burnham lm, rn, ibclc
>
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