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Tuesday 18 August 2026 07:00:00 GMT
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I thought everything was going well...then the saxophones started getting louder. Our first daughter developed jaundice after birth and ultimately needed phototherapy. It was scary, but it also reminded me of one of the biggest misconceptions I hear as a lactation counselor: that breastfeeding causes jaundice or that formula is somehow
I thought everything was going well...then the saxophones started getting louder. Our first daughter developed jaundice after birth and ultimately needed phototherapy. It was scary, but it also reminded me of one of the biggest misconceptions I hear as a lactation counselor: that breastfeeding causes jaundice or that formula is somehow "better" at treating it. Here's what I wish every new parent knew: ☀️ Breastfeeding doesn't cause newborn jaundice. In fact, frequent, effective breastfeeding helps babies clear bilirubin by increasing stool output. ☀️ Colostrum is exactly what your baby needs. Those first drops of milk aren't just packed with antibodies. They're also nature's laxative, helping babies pass meconium and eliminate bilirubin through their stools. ☀️ If supplementation is recommended, that doesn't automatically mean formula. Expressed breast milk is often the preferred supplement when it's available, and current evidence does not show that formula clears bilirubin faster than breast milk. ☀️ The biggest concern isn't breast milk. It's poor milk transfer. Babies with jaundice are often very sleepy, which can make nursing less effective. If your baby isn't feeding well at the breast, continue offering the breast while also hand expressing or pumping regularly to protect your milk supply and provide expressed milk if supplementation is needed. While there is no substitute for medical treatment when bilirubin levels are high, there are things you can do at home to support your baby's recovery alongside your pediatrician's treatment plan: ☀️ Feed early and often. This is one of the most effective ways to help lower bilirubin because more milk means more bowel movements, which helps remove bilirubin from the body. ☀️ Practice lots of skin-to-skin. Keeping your baby close encourages frequent feeding, helps wake sleepy babies to nurse, and supports successful breastfeeding. ☀️ Stay well hydrated if you're breastfeeding. Taking care of yourself can help support a healthy milk supply while your baby feeds frequently. ☀️ If your baby needs phototherapy, ask whether a fiber-optic phototherapy blanket (Biliblanket) is an option.Some babies are candidates for this type of treatment, which can make it easier to continue breastfeeding, hold your baby, and practice skin-to-skin during treatment. Not every baby is a candidate, so the best option depends on your baby's bilirubin level and your pediatrician's recommendations. ☀️ Try indirect sunlight exposure: The blue light in natural sunlight helps break down bilirubin. Place your undressed baby near a well-lit window for 10 to 15 minutes a day (always avoid direct sunlight to prevent sunburn, dehydration, and eye damage). Most importantly, phototherapy is not a reason to stop breastfeeding. Babies receiving phototherapy benefit from continuing to breastfeed whenever possible, and treatment can absolutely happen while supporting your breastfeeding goals. Every baby is different, and some babies truly do need supplementation or additional treatment. The goal isn't to avoid medical care. It's to combine evidence-based treatment with breastfeeding support so families can continue breastfeeding if that's what they want to do. If your baby had jaundice, I'd love to hear your experience below. Your story may reassure another parent who's in the thick of it right now. This post is for educational purposes only and isn't a substitute for medical advice. Always work with your baby's pediatrician and a qualified lactation professional to create a feeding plan that's appropriate for your baby's individual needs.

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