This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Nutrition, Subject name: Pediatrics
All are true about breast milk jaundice except: 
Select and explain. 
A. There is unconjugated hyperbilirubinemia, B. Some babies need treatment with phototherapy, C. Breast feeding is contraindicated, D. It is common in the second week of life
C: Breast feeding is contraindicated
Answer: C: Breast feeding is contraindicated 
Explanation: Breast feeding is not contraindicated in breast milk jaundice. Mothers are advised to continue breastfeeding at frequent intervals Breastmilk jaundice is seen in about 2-4% of exclusively breastfed babies. There is significant unconjugated hyperbilirubinemia after the 7th day and may last for 2-3 weeks. This may be caused by the breast milk that might contain beta-glucoronidase, which deconjugates intestinal bilirubin and promotes its absorption and other inhibitors of glucuronyl transferase. Persistently high bilirubin levels may require changing from breast milk to infant formula for 24-48 hours and/or treatment with phototherapy, without cessation of breastfeeding. Ref: Ghai essentials Pediatrics 9th edition Pgno: 168