Frequency of Breastfeeding, Bilirubin Levels, and Re-admission for Jaundice in Neonates

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Published: Sep 20, 2019
DOI: https://doi.org/10.31524/bkkmedj.2019.09.010
Keywords:
frequency of breastfeeding, BFF, bilirubin levels, re-admission, jaundice in neonates

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Sukanya Kankaew, RN, MNS
Tipawan Daramas, RN, PhD
Autchareeya Patoomwan, RN, PhD

Abstract

OBJECTIVES: This study aimed to explore and compare bilirubin levels and readmission for jaundice in neonates who have different frequency of breastfeeding (BFF) during the first two weeks of life.


MATERIAL AND METHODS: One-hundred mothers and full-term neonates recruited from a University Hospital, Bangkok, Thailand. The transcutaneous bilirubin (TcB) levels of neonates were recorded at 24, 48, and 72 hours after birth. The breastfeeding frequency (BFF) was recorded every day for a total of 14 consecutive days. The re-admission rates for jaundice were obtained by telephone call enquiry on day 6, 9, 12, and 14 after birth. For analysis, the samples were assigned to two groups according to their mean BFF during the first two weeks of life. The low-BFF group was breastfed < 8 times/day, and the high-BFF group was breastfed ≥ 8 times/day.


RESULT: The average bilirubin levels of neonates in the low-BFF group and the high-BFF group were 6.74 ± 1.76 mg/dl and 5.31 ± 1.76 mg/dl at 24 hours, 10.95 ± 2.44 mg/dl and 8.19 ± 2.40 mg/dl at 48 hours, and 13.34 ± 2.03 mg/dl and 10.60 ± 2.48 mg/dl at 72 hours, respectively. The bilirubin levels and re-admission rates for jaundice of neonates in the low-BFF group were higher than the high-BFF group with statistical significance (p < 0.001 and p < 0.01, respectively).


CONCLUSION: High-BFF at least eight times/day may help prevent inadequate breastfeeding jaundice in neonates.

Article Details

How to Cite
1.
Kankaew S, Daramas T, Patoomwan A. Frequency of Breastfeeding, Bilirubin Levels, and Re-admission for Jaundice in Neonates. BKK Med J [Internet]. 2019 Sep. 20 [cited 2024 Nov. 22];15(2):180. Available from: https://he02.tci-thaijo.org/index.php/bkkmedj/article/view/222846
Issue
Vol. 15 No. 2 (2019): September
Section
Original Article

This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

References

1. Maisels MJ. Managing the jaundiced newborn: a persistentchallenge. Can Med Assoc J 2015;187(5):335-43.
2. Preer G, Phillip BL. Understanding and managing breast milkjaundice. Arch Dis Child 2011;96(6):461-66.
3. Ramachandran A. Neonatal hyperbilirubinaemia. PaediatrChild Health 2015; 26(4):162-8.
4. Kumpawapee hospital. History recording of patient inKumpawapee hospital. Udon Thani: Kumpawapee hospital;2010. [In Thai]
5. Lauer BJ, Spector ND. Hyperbilirubinemia in the newborn.Pediatr Rev 2011; 32(8): 341-49.
6. Soldi A, Tonetto P, Varalda A, et al. Neonatal jaundice andhuman milk. J Matern Fetal Neonatal Med 2011; 24: 85-7.
7. Maisels MJ, Clune S, Coleman K, et al. The natural historyof jaundice in predominantly breastfed infants. Pediatrics2015;134(2):e340.
8. Clark M. Clinical update: Understanding jaundice in thebreastfed infant. Community Pract 2013;86(6):42-5.
9. Ullah S, Rahman K, Hedayati M. Hyperbilirubinaemia inneonates: Types, causes, clinical examinations, preventativemeasures and treatments: A narrative review article. Iran JPublic Health 2016; 45(5):558-68.
10. American Academy of Pediatrics. Management ofhyperbilirubinemia in the newborn infant 35 or more weeksof gestation. Pediatrics 2004; 114:297-316.
11. Ives NK. Management of neonatal jaundice. Paediatr ChildHealth 2015;25(6):276- 81.
12. Hall RT, Simon S, Smith MT. Readmission of breastfed infantsin the first 2 weeks of life. J Perinatal 2000; 20(7): 432-7.
13. Alkalay AL, Bresee CJ, Simmons SF. Decreased neonataljaundice readmission rate after implementing hyperbilirubinemiaguidelines and universal screening for bilirubin. Clin Pediatr2010; 49(9):830-33.
14. Seagraves K, Brulte A, McNeely K, et al. Supporting breastfeedingto reduce newborn readmissions for hyperbilirubinemia.Nurs Womens Health 2013; 17(6):498-507.
15. American Academy of Pediatrics & American College ofObstetricians and Gynecologists. Neonatal complications andmanagement of high-risk infants. In: Stark AR, Riley LE,editors. Guidelines for Perinatal Care. Elk Grove Village:American Academy of Pediatrics; 2012:321-76.
16. Chen YJ, Yeh TF, Chen CM. Effect of breast-feedingfrequency on hyperbilirubinemia in breast-fed term neonate.Pediatr Int 2015; 57(6): 1121-25.
17. Semmekrot BA, De-Vries MC, Gerrits GP, et al. Optimalbreastfeeding to prevent hyperbilirubinaemia in healthy, termnewborns. Ned Tijdschr Genees 2004; 148(41):2016-19.
18. Chang P. Identifying term breast-fed infants at risk ofsignificant hyperbilirubinemia. Pediatrics 2013; 74(4):408-12.
19. Yamauchi Y, Yamanouchi I. Breast-feeding frequency duringthe first 24 hours after birth in full-term neonates. Pediatrics1990; 86(2): 171-75.
20. Okechukwu AA, Okolo AA. Exclusive breastfeedingfrequency during the first seven days of life in term neonates.Niger Postgrad Med J 2006; 13(4): 309-12.
21. Mastromarino P, Capobianco D, Campagna G, et al. Correlationbetween lactoferrin and beneficial microbiota in breast milkand infant’s feces. Biometals 2014; 27(5): 1077-86.
22. Kent JC, Prime DK, Garbin CP. Principles for maintaining orincreasing breast milk production. Journal of obstetric,gynecologic, and neonatal nursing: JOGNN 2012; 41(1):114-21.
23. Crowley WR. Neuroendocrine regulation of lactation and milkproduction. Compr Physiol 2015; 5: 255-91.
24. Ketsuwan S, Baiya N, Maelhacharoenporn K, et al. Theassociation of breastfeeding practices with neonatal jaundice.J Med Assoc Thai 2017; 100(3): 255-61.