Document Detail


Breast feeding and jaundice in the first week of life.
MedLine Citation:
PMID:  3989487     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Infants who most commonly receive treatment for neonatal hyperbilirubinemia are breast-fed babies in whom no cause for the jaundice can be determined. Hyperbilirubinemia in these newborns may not be caused by the breast feeding as such, but rather by inadequate nursing. This paper reports attempts to decrease readmissions for phototherapy at the UCLA Medical Center by inducing earlier and more functional lactation in the entire nursery population and by formula feeding infants whose bilirubins approached recommended treatment levels. Nursing was interrupted for 24 to 48 hours in 87 newborns; six still required readmission, while 81 were successfully treated at home. At the two-week well-baby visit, no differences in the incidence of breast feeding were found when comparing nonjaundiced breast-fed babies with infants who were taken off the breast or who were readmitted for phototherapy. Differences in the cost of care were significant with an average cost per patient of $126 for those treated at home compared with $1,440 for those readmitted. Policies designed to induce earlier lactation did nothing to decrease the incidence of exaggerated jaundice in the study's breast-fed population. It was concluded that supervised setting with careful counseling and follow-up, can provide an effective alternative to readmission and phototherapy in the treatment of jaundice.
Authors:
L M Osborn; R Bolus
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of family practice     Volume:  20     ISSN:  0094-3509     ISO Abbreviation:  J Fam Pract     Publication Date:  1985 May 
Date Detail:
Created Date:  1985-06-11     Completed Date:  1985-06-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7502590     Medline TA:  J Fam Pract     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  475-80     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Bilirubin / blood
Body Weight
Bottle Feeding
Breast Feeding*
Costs and Cost Analysis
Humans
Infant, Newborn
Jaundice, Neonatal / economics,  etiology*,  therapy
Outcome and Process Assessment (Health Care)
Patient Readmission
Phototherapy
Prospective Studies
Chemical
Reg. No./Substance:
635-65-4/Bilirubin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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