What is the most reasonable management plan for an infant diagnosed with breast milk jaundice?

For an infant diagnosed with breast milk jaundice, the most reasonable management plan is to continue breastfeeding and recheck the bilirubin level in 24 hours.

Breast milk jaundice typically occurs after the first week of life and is attributed to certain substances in breast milk that can inhibit bilirubin clearance. Maintaining breastfeeding is important because it provides essential nutrients and antibodies that support the infant’s health and development. Additionally, continuing breastfeeding can help to promote adequate hydration and stooling, which are important for bilirubin excretion.

Rechecking the bilirubin level allows healthcare providers to monitor the situation and determine whether the jaundice is resolving or if further intervention is necessary. This approach balances the need to manage the infant's jaundice effectively while still supporting breastfeeding, which provides numerous benefits for both the infant and the mother.