Prolonged Jaundice in a Premature Breastfed Infant With Gilbert's Syndrome.

The report describes a single infant, so it cannot show whether any treatment worked or whether the outcome would be the same in other infants. The infant had late prematurity, feeding difficulty, suspected unresolved ankyloglossia, formula supplementation, frenectomy, osteopathic consultation, and specialist referrals, so the contribution of any one part of care cannot be separated. The mother had Gilbert's syndrome and a possible family history, which may have influenced referral and interpretation. Iron supplementation was recommended but not given early, and slight iron deficiency anemia was found later, so feeding and supplementation decisions were complex.

One author had previously received consultancy fees from UNICEF, WHO, LMU Munich, and the German Society for Paediatric and Adolescent Medicine, and had received travel fees from the Austrian Society for Paediatric and Adolescent Medicine. The authors received no financial support for the research, authorship, or publication.

Do not read the infant's resolution as proof that any single feeding change, formula supplement, or frenectomy caused it. This report describes a single infant with several supports over time, and Gilbert's syndrome alone does not require secondary care referral or cause severe hyperbilirubinemia.