Key points for practice
The intention to breastfeed exclusively is one of several factors that can increase the likelihood of a baby developing neonatal jaundice. This has the potential to raise concern among community midwives and health visitors. It is important to maximise the opportunity for support and success in breastfeeding (7) in the light of these guidelines. Promotion of breastfeeding and support is recommended even when treatment is required to reduce bilirubin levels. It is essential to acknowledge that all opportunities to monitor and assess the neonate for evidence of jaundice requires an experienced healthcare professional. Open discussion about neonatal jaundice should continue at all contacts with new parents, while avoiding raising anxiety.