In breast milk jaundice, bilirubin may remain elevated for up to how long?

• A. 1 week
• B. 3 months
• C. 6 months
• D. 24 hours

Answer: (B)

Breast milk jaundice involves higher levels of unconjugated bilirubin that persist longer in healthy breastfed babies because substances in some breast milk can slow bilirubin clearance or promote its reabsorption in the gut. This pattern lasts longer than physiologic jaundice, which typically settles within the first week or two. In many cases, bilirubin can remain elevated for several weeks to months, often up to about three months. That extended duration helps distinguish breast milk jaundice from other causes and explains why the bilirubin level may stay elevated even though the infant is feeding well and appears healthy. Management is usually reassuring and supportive: continue breastfeeding, ensure adequate intake, monitor for any red flags, and follow up to ensure bilirubin declines over time as feeding and milk composition evolve.