Date: 3/18/2009
TUMSPR News: Breast feeding jaundice in icteric neonates, admitted in Bahrami Children’s Hospital from 2001 until 2005. [H]
In a study carried out in Bahrami Children’s Hospital, 120 neoates were enrolled with early breast-feeding jaundice. The mean birth weight and admission weight was 3093± 594.2(1400 to 5800)and 2858.6±573.3(1400 to 3700). The percent of weight loss reached an average of 7.6±5.1% (0 to 23.8%) and the mean total and indirect bilirubin was 19.8±3 (15 to 35) and 19.2±3 (14.4 to 34), respectively. All infants received single or double phototherapy and 5 neonates(4.2%) needed blood exchange. This study suggests that the neonates with breast-feeding jaundice experience significant weight loss during the first two weeks of life, and serum bilirubin can rise up to very high levels, requireing them to undergo phototherapy and supportive interventions. Therefore, healthy term newborns with breast-feeding jaundice and serum bilirubin more than 25 mg/dl, who do not respond to phototherapy, blood exchange is indicated.
Dr. Peymaneh Alizadeh, Dr. Peyman Salamati and Dr. Arinad Ghafari have authored the study.
http://publicrelations.tums.ac.ir/english/news/detail.asp?newsID=11195
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