Which management strategy is NOT recommended for breastfeeding jaundice?

The management strategy that is not recommended for breastfeeding jaundice is supplementing with formula without medical indication. Breastfeeding jaundice, also known as breastfeeding-associated jaundice, can occur in newborns who are receiving breast milk but may not be getting enough to establish adequate hydration and bilirubin clearance.

Supplementation with formula can interfere with the establishment of breastfeeding, particularly in the early days when the mother and baby are learning to breastfeed effectively. The ideal strategy is to encourage continued breastfeeding, ensuring that the baby receives enough milk to promote hydration and metabolic processes that help to clear bilirubin from the infant's system.

Therefore, rather than introducing formula unnecessarily, which can disrupt the breastfeeding relationship and potentially reduce the mother's milk supply, the focus should be on increasing breastfeeding frequency and improving latch and positioning. This helps the baby to receive more breast milk, which gradually resolves the jaundice by ensuring that the infant's needs are met through direct breastfeeding.