Question

A term baby on breastfeeding with bilirubin 14 mg/dL which of the following is true?

• A. Exchange transfusion
• B. Continue to breastfeed
• C. Phototherapy
• D. None

Answer 1

The Correct Option is B

In pediatric care, it's important to address neonatal jaundice with the correct approach based on bilirubin levels. For a term baby who is exclusively breastfeeding with a bilirubin level of 14 mg/dL, here's the detailed guidance:

1. Bilirubin Level Assessment: A bilirubin level of 14 mg/dL in a term infant typically does not warrant aggressive treatments such as exchange transfusion unless other specific risk factors are present.

2. Continue Breastfeeding: Evidence supports that breastfeeding should be continued even if mild jaundice is present. Breast milk provides essential nutrients and antibodies that promote the baby's overall health and development.

3. Phototherapy Consideration: Phototherapy is generally considered if bilirubin levels approach 15 mg/dL to 20 mg/dL or higher, especially if the infant is showing signs of severe jaundice or the rate of increase in bilirubin levels is high.

Conclusion: For a bilirubin level at 14 mg/dL in a term infant, it is advised to continue to breastfeed, monitoring the baby closely for any changes in condition while ensuring supportive care and follow-up.