How to deal with newborn jaundice that hasn't subsided after 33 days?

Patient's question:

The newborn jaundice has lasted for 33 days and has not subsided yet. It was detected at 17 on the fourth day of birth, and the hospital required hospitalization for blue light treatment, which reduced it to 11 after three days. Discharged. Three days later, no treatment was given, and breast milk was continued.

Doctor's answer:

Based on the current symptoms, this should be breast milk jaundice. Infants who are breastfed may develop jaundice 4-7 days after birth, peaking within 2-4 weeks. In most cases, the condition is mild and there is no hemolysis or anemia. The jaundice typically lasts for 3-4 weeks and gradually disappears in the second month, though in some cases it may persist for up to 10 weeks. If breastfeeding is stopped for 3-4 days during the jaundice period, the jaundice will significantly decrease, with bilirubin levels dropping by ≥50%. If breastfeeding is continued, the jaundice may not recur, or if it does, it will not reach the previous level.

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