Diane:  Dr. Gartner will probably respond much more authoritatively, but
I have a few comments.  First of all, it's important to know what
happened during the 24-hour interruption of breastfeeding.  If the bili
went down, then rose on resumption of breastfeeding to a lower level than
before interruption, then this is breastmilk jaundice (if it didn't go
down, or if it went up, then pathologic causes must be ruled out).
Breastmilk jaundice slowly decreases over several weeks.  From my understanding of
the literature, 24 hours is a long enough time to determine that it is
breastmilk jaundice, so I don't see any need to interrupt breastfeeding
for 5 days.  After all, if it's breastmilk jaundice, it will continue to
decrease whether or not breastfeeding is interrupted (and it's a benign
condition, of no concern as long as the bili is not rising rapidly or
above 20).  If the jaundice is due to another condition, why wean?  Hope
this helps.  Alicia.  [log in to unmask]