The association of neonatal jaundice and breast-feeding

Main Article Content

Rulina Suradi
Esther H. Situmeang
Taralan Tambunan

Abstract

To examine the prevalence of jaundice in neonates and its association with breast-feeding, we studied 100
healthy breast-fed baby boys during the first 3 - 5 days after birth, delivered in Dr. Cipto Mangunkusumo Hospital. This was
an 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 day
two, three and five of 6 – 10 mg/dL (62%), 6 – 10 mg/dL (35%) and 12 – 15 mg/dL (34%), respectively. Several factors found
to 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 frequency
was less in compared with those breast-fed in less than 30 minutes. c. time of meconium passage (p< 0.05), meconium
passage 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.

Article Details

How to Cite
1.
Suradi R, Situmeang E, Tambunan T. The association of neonatal jaundice and breast-feeding. PI [Internet]. 30Apr.2001 [cited 26Aug.2019];41(3-4):69-5. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/1241
Section
Articles
Received 2017-02-01
Accepted 2017-02-01
Published 2001-04-30

References

1. Gourley GR. Pathophysiology of breastmilk jaundice. In:Polin RA, Fox WW, eds. Fetal and neonatal physiology.Philadelphia:WB Saunders, 1991;1173-9.
2. Suradi R. Hubungan pemberian ASI dengan ikterus pada neonatus. Presented in Semiloka manajemen laktasi RSAB Harapan Kita. Jakarta, October, 18-27, 1993.
3. Boedjang RF. Pendekatan diagnosis dan tatalaksana ikterus pada bayi baru lahir. Sari Pediatri 1994; 1:105-117.
4. Auerbach KG, Gartner ML. Breast-feeding and human milk : their association with jaundice in the neonate. In: Lawrence R, ed. Clin perinato. WB Saunders, 1987;14:87- 107.
5. Schneider AP. Breastmilk jaundice in the newborn : a real entity. JAMA 1986; 255:3270-74
6. Maisels MJ. Jaundice. In : Avery BG, Fletcher MA, Mac Donald MG, eds. Neonatology, pathophysiology and management of the newborn; 4th edition. Philadelphia : JB Lippincott, 1994;630-725.
7. Suradi R. Unpublished data. Division of Perinatology, Department of Child Health, Cipto Mangunkusumo Hospital, Jakarta.
8. Kuhr M, Paneth N. Feeding practices and early neonatal jaundice. J Pediatr Gastroenterol Nutr 1982; 1:485-8.
9. Butler DA , Mac Millan JP. Relationship of breast-feeding and weight loss to jaundice in the newborn period: review of the literature and result of a study. Clev Clin Quarterly 1983 ; 50: 263. Quoted from Maisels MJ: Jaundice. Neonatology, pathophysiology and management of the newborn, 4th edition. Philadelphia: JB Lippincott 1994, 630-725.
10. Maisels MJ, Gifford K, Antle CE. Jaundice in the healthy newborn infant : a new approach to an old problem. Pediatrics 1988; 81: 505-511
11. Gartner LM, Lee KS,Vaisman S. Development of bilirubin transport and metabolism in the newborn rhesus monkey. J Pediatr 1977; 90:513-31.
12. Roberton NRC. Neonatal jaundice and liver disease. In: Roberton NRC, penyunting. A manual of neonatal intensive care, 3rd edition. London: Rowland, 1993; 238-2609.
13. Rosta J, Makot Z, Kertesz A. Delayed meconium passage and hyperbilirubinemia. Lancet 1968; 23: 1138.
14. Cottrell BH, Anderson GC. Rectal or axillary temperature measurement : effect on plasma bilirubin and intestinal transit of meconium. J Pediatr Gastroenterol Nutr 1984;3: 734-8.
15. Weisman LE, Merenstein GB, Digirol M. The effect of early meconium evacuation on early onset hyperbilirubinemia. Am J Dis Child 1983; 137: 561-6.
16. De Carvallo M, Robertson S, Klaus M. Fecal bilirubin excretion and serum bilirubin concentrations in breast-fed and bottle fed infants. J Pediatr 1985; 107:786-90.
17. Damhs BB, Krauss AN, Gartner LM. Breast-feeding and serum bilirubin values during the first 4 days of life. J Pediatr 1973; 83:1049-54.
18. Yamauchi Y, Yamanauchi I. Breast-feeding frequency during the first 24 hours after birth in full term neonatus. Pediatrics 1990; 86:171-5.
19. Lawrence RA. The management of lactation as a physiologic process. In : Lawrence R, ed. Clin perinato. WB Saunders, 1987; 14: 1-10.
20. Lawrence RA. Management of the mother-infant nursing couple. In : Kennel JH, Klaus MH, eds. Breast-feeding, 3rd edisi. Chicago. Mosby Company, 1990; 172-219.
21. Gourley GR, Kreamer B, Arend R. The effect of diet on feses and jaundice during the first three weeks of life. Gastroenterol 1992;103:660-4.