Paediatrica Indonesiana
Vol 41 No 3-4 (2001): March 2001

The association of neonatal jaundice and breast-feeding

Rulina Suradi (Department of Child Health, Faculty of Medicine, University of Indonesia, Cipto Mangunkusumo Hospital, Jakarta)
Esther H. Situmeang (Department of Child Health, Faculty of Medicine, University of Indonesia, Cipto Mangunkusumo Hospital, Jakarta)
Taralan Tambunan (Department of Child Health, Faculty of Medicine, University of Indonesia, Cipto Mangunkusumo Hospital, Jakarta)



Article Info

Publish Date
30 Apr 2001

Abstract

To examine the prevalence of jaundice in neonates and its association with breast-feeding, we studied 100healthy breast-fed baby boys during the first 3 - 5 days after birth, delivered in Dr. Cipto Mangunkusumo Hospital. This wasan analytical, cross-sectional study performed prospectively. The study was conducted from April, 1, 1999 to October 15,1999. Jaundice was detected in 94 out of 100 infants (94%). Breast-feeding jaundice was encountered in 26 infants (28%)namely infants whose bilirubin levels was >12 mg/dL by day 3 (CI 95% : 19;37%). Most infants showed bilirubin levels on daytwo, three and five of 6 – 10 mg/dL (62%), 6 – 10 mg/dL (35%) and 12 – 15 mg/dL (34%), respectively. Several factors foundto be contributing to the occurrence of breast-feeding jaundice included : a. breast-feeding frequency (r :- 0.83, p < 0.01), b.mean breast-feeding duration : infants breast-fed for more than 30 minutes have consequences its breast-feeding frequencywas less in compared with those breast-fed in less than 30 minutes. c. time of meconium passage (p< 0.05), meconiumpassage in the first hours after birth played an important part in reducing enterohepatic circulation, d. fecal weight (r =-0.87,p < 0.01), feces retained in the intestine its bilirubin would be deconjugated and reabsorbed subsequently . e. weight loss (p< 0.05). In 11 infants who received blue light therapy there were no abnormalities both in physical and laboratory examinations.

Copyrights © 2001






Journal Info

Abbrev

paediatrica-indonesiana

Publisher

Subject

Health Professions Medicine & Pharmacology

Description

Paediatrica Indonesiana is a medical journal devoted to the health, in a broad sense, affecting fetuses, infants, children, and adolescents, belonged to the Indonesian Pediatric Society. Its publications are directed to pediatricians and other medical practitioners or researchers at all levels of ...