Weight loss percentage prediction of subsequent neonatal hyperbilirubinemia in exclusively breastfed neonates

Pediatrics and Neonatology
Rui-Jane ChangPo-Nien Tsao

Abstract

The incidence of neonatal hyperbilirubinemia in our hospital has increased since the implementation of breastfeeding promotion. Inadequate breastfeeding results in reduced calorie intake, weight loss and neonatal hyperbilirubinemia. Supplementary feeding is required if breastfeeding proves inadequate. However, the optimal weight loss cut-off value for supplementary feeding is unknown. We collected records for all healthy neonates with a gestational age ≥35 weeks and birth body weight (BBW) above 2500 g, born between March 2002 and July 2005, from our nursery. A total of 1979 neonates were reviewed, 874 of whom were exclusively breastfed and subsequently enrolled in this study. Only infants who were breastfed exclusively were enrolled; 219 of these infants (25.1%) presented significant hyperbilirubinemia after 72 hours of age. Infants with early-onset (<48 hours) hyperbilirubinemia or any known risk factors for neonatal hyperbilirubinemia were excluded. We analyzed the association between weight loss percentage and hyperbilirubinemia and investigated the best weight loss percentage cut-off value for the prediction of subsequent hyperbilirubinemia before 2 weeks of age. Neonates with lower gestational age and greater weight loss ...Continue Reading

References

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Mar 10, 2001·JAMA : the Journal of the American Medical Association·M S KramerUNKNOWN PROBIT Study Group (Promotion of Breastfeeding Intervention Trial)
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Jul 3, 2004·Pediatrics·UNKNOWN American Academy of Pediatrics Subcommittee on Hyperbilirubinemia
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Jun 16, 2009·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Antonio Alberto ZuppaCostantino Romagnoli

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Citations

Apr 15, 2014·The Journal of Pediatrics·Laura TravanSergio Demarini
Mar 5, 2014·Nursing for Women's Health·Kendra SeagravesUrsula Pritham
Mar 19, 2014·Birth·Maria João FonsecaAna Cristina Santos
Jul 16, 2008·Early Human Development·Irene A G Roberts
Feb 1, 2017·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Boskabadi Hassan, Maryam Zakerihamidi
Aug 2, 2017·The Cochrane Database of Systematic Reviews·Nai Ming LaiChin Fang Ngim
Apr 7, 2018·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Valerie J FlahermanUNKNOWN Academy of Breastfeeding Medicine
Mar 22, 2019·Paediatrics & Child Health·Brigitte LemyrePat O'Flaherty
Nov 24, 2020·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Ling DuanHongbing Hu
Dec 19, 2020·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Anna P SmithLaurie A Nommsen-Rivers

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