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breast feeding jaundice

Sana Ullah, Khaista Rahman, Mehdi Hedayati
BACKGROUND: Hyperbilirubinemia, or jaundice, is a life threatening disorder in newborns. It is a multifactorial disorder with many symptoms. Generally, the physiological jaundice is the most prevalent type however in some regions pathological jaundice is also common. This review article focuses on a brief introduction to jaundice, its types and causes, measuring the bilirubin level, clinical approaches towards hyperbilirubinemia, different precautionary measures for the parents of babies suffering from hyperbilirubinemia and different remedial therapeutic measures for its treatment...
May 2016: Iranian Journal of Public Health
Lawrence M Gartner
No abstract text is available yet for this article.
January 2016: Journal of Pediatrics
W Nakanga, P Patel, S Panjwani, N Kennedy, K Kawaza
INTRODUCTION: Jaundice is the yellowish pigmentation of the skin, sclera, and mucous membranes resulting from bilirubin deposition. Children born to mothers with HIV are more likely to be born premature, with low birth weight, and to become septic-all risk factors for neonatal jaundice. Further, there has been a change in the prevention of mother-to-child transmission (PMTCT) of HIV guidelines from single-dose nevirapine to a six-week course, all of which theoretically put HIV-exposed newborns at greater risk of developing neonatal jaundice...
September 2015: Malawi Medical Journal: the Journal of Medical Association of Malawi
Camilla Lavagno, Pietro Camozzi, Samuele Renzi, Sebastiano A G Lava, Giacomo D Simonetti, Mario G Bianchetti, Gregorio P Milani
There are increasing reports on hypernatremia, a potentially devastating condition, in exclusively breastfed newborn infants. Our purposes were to describe the clinical features of the condition and identify the risk factors for it. We performed a review of the existing literature in the National Library of Medicine database and in the search engine Google Scholar. A total of 115 reports were included in the final analysis. Breastfeeding-associated neonatal hypernatremia was recognized in infants who were ≤ 21 days of age and had ≥ 10% weight loss of birth weight...
February 2016: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
Ryoichi Fujiwara, Yoshihiro Maruo, Shujuan Chen, Robert H Tukey
Newborns commonly develop physiological hyperbilirubinemia (also known as jaundice). With increased bilirubin levels being observed in breast-fed infants, breast-feeding has been recognized as a contributing factor for the development of neonatal hyperbilirubinemia. Bilirubin undergoes selective metabolism by UDP-glucuronosyltransferase (UGT) 1A1 and becomes a water soluble glucuronide. Although several factors such as gestational age, dehydration and weight loss, and increased enterohepatic circulation have been associated with breast milk-induced jaundice (BMJ), deficiency in UGT1A1 expression is a known cause of BMJ...
November 15, 2015: Toxicology and Applied Pharmacology
Cécile Boscher, Sandrine Boudault, Bénédicte Vrignaud, Christèle Gras-Le Guen
The first weeks of life are a period of great immaturity and vulnerability. While pathologies and their semiology are very specific in this period, doctors must quickly identify therapeutic emergencies but also reassure parents when symptoms are physiological for age. Jaundice, baby crying, fever or breastfeeding constitute various medical challenges for the primary care physician, especially after birth; in an area of early back home.
May 2015: La Revue du Praticien
Yomna Ali Bayoumi, Yasmin Ahmed Bassiouny, Ayman Ahmed Hassan, Hisham Mohamed Gouda, Sherif Sameh Zaki, Abdelrahman Ahmed Abdelrazek
OBJECTIVE: To compare the incidence of postpartum maternal and neonatal complications and hospital readmission in patients discharged 24 versus 72 h after cesarean section. METHODS: Using randomization, 1495 patients were discharged after 24 h and 1503 patients were discharged after 72 h. All patients fulfilled the discharge criteria. Patients were assessed 6 weeks after delivery, any maternal or neonatal problems or hospital readmissions during this time interval were reported...
2016: Journal of Maternal-fetal & Neonatal Medicine
Muhammed Dag, Zeynel Özturk, Musa Aydnl, Irfan Koruk, Abdurrahman Kadayfç
The hepatotoxicity cases due to herbal medical products have been increased in recent years. Teucrium polium (TP) (mountain germander) is one of the most popular species of the Lamiaceae family and is commonly used for increasing breast milk formation and for relieving gastrointestinal complaints in the last months of pregnancy and postpartum periods. Here are presented 3 cases of serious hepatotoxicity due to TP. Three female patients aged 33, 31, and 37 years were admitted to clinic with jaundice and serious elevated liver enzymes for a period of 2 years...
November 2014: Annals of Saudi Medicine
Catherine M Pound, Katherine Moreau, Kristina Rohde, Nick Barrowman, Mary Aglipay, Ken J Farion, Amy C Plint
OBJECTIVES: Neonatal jaundice is the most common problem in full-term infants during the immediate post-natal period. We examined the effect of a lactation support intervention on breastfeeding duration in hospitalized jaundiced infants. STUDY DESIGN: We conducted a randomized controlled trial with a qualitative component involving mothers of hospitalized jaundiced breastfed infants <4 weeks of age. Mothers receiving the intervention met with an International Board-Certified Lactation Consultant in hospital and 1-3 times post discharge...
2015: PloS One
Khadijeh Raeisi, Mamak Shariat, Fatemeh Nayeri, Farima Raji, Hosein Dalili
Constant breastfeeding that depends on the family support. Fathers' involvement is as an important factor of successful breastfeeding. The aim of this study was to evaluate the influence of fathers' participation in constant breastfeeding in Vali-E-Asr Hospital, Tehran, Iran. This interventional study was piloted on spouses of pregnant women participating in pregnancy courses. The case group consisted of fathers attending training courses of breastfeeding during pregnancy (Group A), and the control group was made up of fathers who did not take part in training courses (Group B)...
2014: Acta Medica Iranica
Genevieve E Becker, Tracey Remmington
BACKGROUND: Widespread recommendations from health organisations encourage exclusive breastfeeding for six months. However, the addition of other fluids or foods before six months is common in many countries and communities. This practice suggests perceived benefits of early supplementation or lack of awareness of the possible risks. OBJECTIVES: To assess the benefits and harms of supplementation for full-term healthy breastfed infants and to examine the timing and type of supplementation...
2014: Cochrane Database of Systematic Reviews
M Jeffrey Maisels
No abstract text is available yet for this article.
March 17, 2015: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
Karen E Muchowski
Although neonatal jaundice is common, acute bilirubin encephalopathy and kernicterus (i.e., chronic bilirubin encephalopathy) are rare. Universal screening for neonatal hyperbilirubinemia is controversial. The American Academy of Pediatrics recommends universal screening with bilirubin levels or targeted screening based on risk factors. However, the U.S. Preventive Services Task Force and the American Academy of Family Physicians found insufficient evidence that screening improves outcomes. Universal screening may also increase rates of phototherapy, sometimes inappropriately...
June 1, 2014: American Family Physician
M Jeffrey Maisels, Sarah Clune, Kimberlee Coleman, Brian Gendelman, Ada Kendall, Sharon McManus, Mary Smyth
BACKGROUND AND OBJECTIVES: Breastfed newborns are more likely to develop prolonged hyperbilirubinemia than those fed formula, but the prevalence of prolonged hyperbilirubinemia in a largely white, North American breastfed population is unknown. In this population, we documented the natural history of jaundice and the prevalence of prolonged hyperbilirubinemia, and we evaluated the utility of assessing the cephalocaudal progression of jaundice in office-based practices. METHODS: We measured transcutaneous bilirubin (TcB) levels during the first month in 1044 predominantly breastfed infants ≥35 weeks of gestation and assigned a cephalocaudal zone score to each infant at the time of the TcB measurement...
August 2014: Pediatrics
Dimitri Poddighe, Lucia Castelli, Gian Luigi Marseglia, Paola Bruni
Unconjugated hyperbilirubinaemia is a common finding in newborns. When it is exaggerated, it is usually investigated in order to exclude several diseases, such as newborn's haemolytic diseases, infections or hypothyroidism. Breast milk jaundice is a form of neonatal jaundice related to breast feeding and it is not usually associated with any clinical issue and/or other laboratory abnormalities. We describe a case of breast milk jaundice being associated, unexpectedly, to significant elevation of plasmatic liver and biliary enzymes...
2014: BMJ Case Reports
Yoshihiro Maruo, Yoriko Morioka, Hiroshi Fujito, Sayuri Nakahara, Takahide Yanagi, Katsuyuki Matsui, Asami Mori, Hiroshi Sato, Robert H Tukey, Yoshihiro Takeuchi
OBJECTIVE: To evaluate the role of bilirubin UDP-glucuronosyltransferase family 1, polypeptide A1 (UGT1A1) gene variations on prolonged unconjugated hyperbilirubinemia associated with breast milk feeding (breast milk jaundice [BMJ]). STUDY DESIGN: UGT1A1 gene allelic variation was analyzed in 170 Japanese infants with BMJ with polymerase chain reaction-direct sequencing, and their genotypes compared with serum bilirubin concentrations. In 62 of 170 infants, serum bilirubin concentration was followed after 4 months of life...
July 2014: Journal of Pediatrics
Maria João Fonseca, Milton Severo, Henrique Barros, Ana Cristina Santos
BACKGROUND: Newborn weight loss (NWL) in the first 3 days of life is around 6 percent of birthweight (BW). We aim to describe the determinants of an excessive and insufficient NWL in the first 96 hours of life. METHODS: A sample of 1,288 full-term singletons without congenital abnormality belonging to Generation XXI birth cohort was selected. Newborns were recruited in 2005-2006 at all public units providing obstetrical and neonatal care in Porto, Portugal. Information was collected by face-to-face interview and additionally abstracted from clinical records...
June 2014: Birth
Kendra Seagraves, Amanda Brulte, Karen McNeely, Ursula Pritham
Lack of breastfeeding support can result in inadequate feedings at the breast, putting newborns at risk for hyperbilirubinemia, severe jaundice and possible hospital readmission. Nurses can help prevent readmissions for hyperbilirubinemia by becoming educated about the risk factors for hyperbilirubinemia and by implementing preventive measures through improved breastfeeding support.
December 2013: Nursing for Women's Health
Ling-Ling Xiao, Xue-Feng Zhang, Xin-Yu Wang
OBJECTIVE: To investigate the changes in epidermal growth factor (EGF) concentrations in infants' serum and breast milk in neonates with late-onset breast milk jaundice after stopping breast feeding. METHODS: Thirty full-term infants with late-onset breast milk jaundice were included in the study. Infants' serum and breast milk were collected before and 72 hours after stopping breast feeding, and the total bilirubin and EGF concentrations in infants' serum and EGF concentration in breast milk were measured respectively...
December 2013: Zhongguo Dang Dai Er Ke za Zhi, Chinese Journal of Contemporary Pediatrics
Kimberly M Tartaglia, Jessica Campbell, Paul Shaniuk, Richard E McClead
OBJECTIVE: The goal of this study was to improve compliance with published guidelines regarding management of neonatal hyperbilirubinemia in infants admitted to a general pediatric hospital ward and to improve support for their breastfeeding mothers. METHODS: This quality improvement project was conducted by using Plan-Do-Study-Act cycles and statistical process control methods. Study subjects were infants > 35 weeks' gestation admitted for hyperbilirubinemia to the general inpatient ward of a large, freestanding pediatric hospital...
July 2013: Hospital Pediatrics
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