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Neonatal Jaundice in Full-term Infants: Role of Breast-feeding and Other Causes

Neonatal Jaundice in Full-term Infants: Role of Breast-feeding and Other Causes Abstract • Serum bilirubin determinations were performed on 264 term infants who were consecutively delivered via the vaginal route. Forty-one infants (15.5%) had serum bilirubin concentrations greater than 12 mg/dL. No cause for this was found, initially, in 23 (56%) of these infants. On the third hospital day, the mean (±SD) serum bilirubin level was 6.9±3.6 mg/dL in breast-fed infants and 6.5±3.2 mg/dL in bottle-fed infants. Of the 23 infants without obvious cause for hyperbilirubinemia, eight (four bottle-fed and four breast-fed infants) had serum bilirubin concentrations greater than 12 mg/dL on the third hospital day, whereas in 15(14 breast-fed infants and one bottle-fed infant), the elevated serum bilirubin level occurred on day 4 or 5. Breast-feeding does not seem to affect the total serum bilirubin level in the first three days of life but may be associated with an increased incidence of hyperbilirubinemia subsequently. In a normal full-term population, routine investigations do not disclose a cause for hyperbilirubinemia in about half of the patients. (Am J Dis Child 1983;137:561-562) References 1. Wood B, Culley P, Roginski C, et al: Factors affecting neonatal jaundice . Arch Dis Child 1979; 54:111-115.Crossref 2. Calder AA, Ounsted MK, Moar VA, et al: Increased bilirubin levels in neonates after induction of labour by intravenous prostaglandin E2 or oxytocin . Lancet 1974;2:1339-1342.Crossref 3. Boylan P: Oxytocin and neonatal jaundice . Br Med J 1976;3:564-565.Crossref 4. Dahms BB, Krauss AN, Gartner LM, et al: Breast feeding and serum bilirubin values during the first four days of life . J Pediatr 1973;83:1049-1054.Crossref 5. McConnell JB, Glasgow JFT, McNair R: Effect on neonatal jaundice of oestrogens and progestogens taken before and after conception . Br Med J 1973;3:605-607.Crossref 6. Gould SR, Mountrose U, Brown DJ, et al: Influence of previous oral contraception and maternal oxytocin infusion on neonatal jaundice . Br Med J 1974;3:228-230.Crossref 7. Drew JH: Breastfeeding and jaundice . Keeping Abreast J Hum Nutr , (January) -March 1978, pp 53-57. 8. Maisels MJ: Neonatal jaundice , in Avery CB (ed): Neonatology, Pathophysiology and Management of the Newborn , ed 2. Hagerstown, Md, Harper & Row Publishers Inc, 1981, pp 473-544. 9. Krauss AN, Dahms BB, Gartner LM, et al: Significance of 'no statistically significant difference.' J Pediatr 1974;84:286. 10. Kandall SR, Landaw SA, Thaler MM: Corrected carboxyhemoglobin: A sensitive index of hemolysis in jaundiced newborns . Pediatr Res 1973;7:356. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Neonatal Jaundice in Full-term Infants: Role of Breast-feeding and Other Causes

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References (10)

Publisher
American Medical Association
Copyright
Copyright © 1983 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1983.02140320037007
Publisher site
See Article on Publisher Site

Abstract

Abstract • Serum bilirubin determinations were performed on 264 term infants who were consecutively delivered via the vaginal route. Forty-one infants (15.5%) had serum bilirubin concentrations greater than 12 mg/dL. No cause for this was found, initially, in 23 (56%) of these infants. On the third hospital day, the mean (±SD) serum bilirubin level was 6.9±3.6 mg/dL in breast-fed infants and 6.5±3.2 mg/dL in bottle-fed infants. Of the 23 infants without obvious cause for hyperbilirubinemia, eight (four bottle-fed and four breast-fed infants) had serum bilirubin concentrations greater than 12 mg/dL on the third hospital day, whereas in 15(14 breast-fed infants and one bottle-fed infant), the elevated serum bilirubin level occurred on day 4 or 5. Breast-feeding does not seem to affect the total serum bilirubin level in the first three days of life but may be associated with an increased incidence of hyperbilirubinemia subsequently. In a normal full-term population, routine investigations do not disclose a cause for hyperbilirubinemia in about half of the patients. (Am J Dis Child 1983;137:561-562) References 1. Wood B, Culley P, Roginski C, et al: Factors affecting neonatal jaundice . Arch Dis Child 1979; 54:111-115.Crossref 2. Calder AA, Ounsted MK, Moar VA, et al: Increased bilirubin levels in neonates after induction of labour by intravenous prostaglandin E2 or oxytocin . Lancet 1974;2:1339-1342.Crossref 3. Boylan P: Oxytocin and neonatal jaundice . Br Med J 1976;3:564-565.Crossref 4. Dahms BB, Krauss AN, Gartner LM, et al: Breast feeding and serum bilirubin values during the first four days of life . J Pediatr 1973;83:1049-1054.Crossref 5. McConnell JB, Glasgow JFT, McNair R: Effect on neonatal jaundice of oestrogens and progestogens taken before and after conception . Br Med J 1973;3:605-607.Crossref 6. Gould SR, Mountrose U, Brown DJ, et al: Influence of previous oral contraception and maternal oxytocin infusion on neonatal jaundice . Br Med J 1974;3:228-230.Crossref 7. Drew JH: Breastfeeding and jaundice . Keeping Abreast J Hum Nutr , (January) -March 1978, pp 53-57. 8. Maisels MJ: Neonatal jaundice , in Avery CB (ed): Neonatology, Pathophysiology and Management of the Newborn , ed 2. Hagerstown, Md, Harper & Row Publishers Inc, 1981, pp 473-544. 9. Krauss AN, Dahms BB, Gartner LM, et al: Significance of 'no statistically significant difference.' J Pediatr 1974;84:286. 10. Kandall SR, Landaw SA, Thaler MM: Corrected carboxyhemoglobin: A sensitive index of hemolysis in jaundiced newborns . Pediatr Res 1973;7:356.

Journal

American Journal of Diseases of Children – American Medical Association

Published: Jun 1, 1983

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