{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:51:41Z","timestamp":1777852301860,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,2,9]],"date-time":"2024-02-09T00:00:00Z","timestamp":1707436800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hum Lact"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Neonatal jaundice and prematurity pose significant barriers to breastfeeding in the first days of life. There is limited literature exploring the relationship between prolonged jaundice in breastfed infants and Gilbert\u2019s (Meulengraght) syndrome. This case study describes the diagnostic and therapeutic challenges associated with Gilbert\u2019s syndrome in a late preterm breastfed infant born in Germany.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Issue:<\/jats:title>\n                    <jats:p>In this case report, an infant born to a primipara woman presented at 3 weeks postpartum to an International Board Certified Lactation Consultant. The initial assessment revealed a late preterm infant with inadequate weight gain and jaundice. The dyad received breastfeeding support and eventually achieved adequate weight gain; however, the infant\u2019s jaundice persisted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Management:<\/jats:title>\n                    <jats:p>The consulting midwife suggested that the persistent jaundice was \u201cbreastmilk jaundice\u201d and recommended temporarily interrupting breastfeeding. Due to a suspected family history of Gilbert\u2019s Syndrome, the dyad was referred, instead, to a pediatric gastroenterologist. Pathologic liver disease was excluded, and genetic testing confirmed Gilbert\u2019s Syndrome. At 6 months of age, the dyad was successfully breastfeeding and beginning complementary feeding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Genetic testing for Gilbert\u2019s Syndrome should be considered for infants with prolonged jaundice and positive family history. Interruption or cessation of breastfeeding are not evidence-based recommendations, and current guidelines do not support these practices. Lactation professionals play a critical role in the management of breastfeeding for preterm infants with prolonged jaundice and should refer to specialists to rule out pathologic etiologies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08903344241227226","type":"journal-article","created":{"date-parts":[[2024,2,9]],"date-time":"2024-02-09T07:18:56Z","timestamp":1707463136000},"page":"270-275","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Prolonged Jaundice in a Premature Breastfed Infant With Gilbert\u2019s Syndrome"],"prefix":"10.1177","volume":"40","author":[{"given":"Frances","family":"Strobl","sequence":"first","affiliation":[{"name":"School of Life Sciences, Technical University of Munich, Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8928-9004","authenticated-orcid":false,"given":"Melissa Ann","family":"Theurich","sequence":"additional","affiliation":[{"name":"Chair of Public Health and Health Services Research, Institute for Medical Information Processing, Biometry and Epidemiology, Pettenkoffer School of Public Health, Faculty of Medicine, Ludwig-Maximilians-Universit\u00e4t M\u00fcnchen (LMU Munich), Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,2,9]]},"reference":[{"key":"bibr1-08903344241227226","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(98)70356-7"},{"key":"bibr2-08903344241227226","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2016.29031.egb"},{"key":"bibr3-08903344241227226","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2020.0293"},{"key":"bibr4-08903344241227226","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2431-13-59"},{"key":"bibr5-08903344241227226","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2017.29042.vjf"},{"key":"bibr6-08903344241227226","doi-asserted-by":"publisher","DOI":"10.3390\/nu15102261"},{"key":"bibr7-08903344241227226","doi-asserted-by":"publisher","DOI":"10.5385\/jksn.2010.17.2.266"},{"key":"bibr8-08903344241227226","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2022-058859"},{"key":"bibr9-08903344241227226","doi-asserted-by":"publisher","DOI":"10.1136\/dtb.2018.000028"},{"key":"bibr10-08903344241227226","doi-asserted-by":"publisher","DOI":"10.1542\/peds.106.5.e59"},{"key":"bibr11-08903344241227226","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(99)70201-5"},{"key":"bibr12-08903344241227226","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-4642(18)30139-1"},{"key":"bibr13-08903344241227226","doi-asserted-by":"publisher","DOI":"10.4103\/0256-4947.77498"},{"key":"bibr14-08903344241227226","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2018.29095.snt"},{"key":"bibr15-08903344241227226","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000002234"},{"key":"bibr16-08903344241227226","unstructured":"World Health Organization & United Nations Children\u2019s Fund. 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Indicators for assessing infant and young child feeding practices: Definitions and measurement methods. https:\/\/www.who.int\/publications\/i\/item\/9789240018389"},{"key":"bibr17-08903344241227226","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2022.1080212"}],"container-title":["Journal of Human Lactation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08903344241227226","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08903344241227226","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08903344241227226","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:34:16Z","timestamp":1777502056000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08903344241227226"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,9]]},"references-count":17,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1177\/08903344241227226"],"URL":"https:\/\/doi.org\/10.1177\/08903344241227226","relation":{},"ISSN":["0890-3344","1552-5732"],"issn-type":[{"value":"0890-3344","type":"print"},{"value":"1552-5732","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,9]]}}}