What condition can potentially cause a significant delay in an infant's recovery from jaundice?

Breastfeeding difficulties can indeed lead to a significant delay in an infant's recovery from jaundice. Jaundice in newborns arises due to an increase in bilirubin, a substance produced during the normal breakdown of red blood cells. Breastfeeding is critical because it encourages regular feeding, which helps to promote bowel movements. This is important for the excretion of bilirubin. If an infant is struggling with breastfeeding, they may not receive enough feeds, leading to inadequate hydration and reduced stooling, which can result in higher bilirubin levels and prolonged jaundice.

Other conditions like sepsis, congenital heart defects, or neurological disorders may also complicate an infant's health, but they do not specifically relate to the metabolic processes involved in the breakdown and excretion of bilirubin as directly as breastfeeding issues do. While these conditions can impact overall health and recovery, the direct link between breastfeeding difficulties and the management of jaundice makes it the most relevant option in this context.