What key factor should be monitored in a breastfeeding infant with jaundice?

Monitoring the frequency of diaper changes in a breastfeeding infant with jaundice is crucial as it provides insights into the infant's hydration and feeding effectiveness. An adequate number of wet and dirty diapers typically indicates that the infant is feeding well and getting enough breast milk, which is essential to promote healthy bilirubin clearance.

When an infant is effectively breastfeeding, they are likely to have enough output, which helps in excreting bilirubin through stools. If a breastfeeding newborn is not having enough diaper changes, it can signal poor intake, increasing the risk for worsening jaundice due to inadequate bilirubin elimination.

Focusing solely on bilirubin levels does not provide a complete picture of the infant's overall health and feeding status, while considering the mother's diet, although relevant, is less immediate compared to monitoring diaper output. The baby's weight gain is important but is typically assessed over a longer period than just immediate jaundice management. Thus, monitoring diaper changes is a key, actionable indicator in assessing and managing an infant with jaundice.