Risk Factors of Early Breastfeeding Jaundice: How Can Gynecologists and Nurses be Effective in Reducing It?
Open Access
- 20 May 2020
- journal article
- Published by Briefland in Journal of Comprehensive Pediatrics
- Vol. 11 (3)
- https://doi.org/10.5812/compreped.103578
Abstract
Background: Neonatal jaundice is one of the most common neonatal problems. About 60% of term and 80% of preterm neonates have jaundice. Objectives: Due to the high prevalence of early neonatal jaundice, which can lead to mothers’ concerns and even hospitalization of neonates, we decided to study the frequency and risk factors of breast feeding jaundice to determine the role of gynecologists and nurses in the development of this type of jaundice. Methods: This study was a cross-sectional descriptive study. The sampling method was by convenience. Study populations included one hundred terms, exclusively breastfed neonates aged equal or less than seven days with jaundice who were admitted in Golestan and Khanevadeh hospitals Tehran, Iran from July 2019 to January 2020. Results: The percentage of causes of jaundice in the study population was 65% non-breastfeeding jaundice (29 male, 36 female), including 36% blood group incompatibility, 19% Rh incompatibility and 10% G6PD deficiency. The amount of breast feeding jaundice was 35% (18 male, 17 female). The most significant factors in breastfeeding jaundice were: use of water or sugar water, depressed nipple, mother’s unwillingness to breastfeed; inappropriate breastfeeding technique, and birth weight < 2500 g. Conclusions: The high prevalence of breastfeeding jaundice indicates that policies of breastfeeding education need to be revised. Breastfeeding education before delivery, attention of gynecologists to breast problems of mothers during pregnancy, professional coordination of nurses and physicians for effective breastfeeding training, and early mothers’ revisit after the initial discharge of neonates can reduce the frequency of breastfeeding jaundice and readmission of neonates.Keywords
This publication has 11 references indexed in Scilit:
- Association of serum bilirubin in newborns affected by jaundice with gut microbiota dysbiosisThe Journal of Nutritional Biochemistry, 2018
- Focused breastfeeding counselling improves short‐ and long‐term success in an early‐discharge setting: A cluster‐randomized studyMaternal & Child Nutrition, 2017
- Comparative Study of Therapeutic Effects of Two Medicinal Procedures of Citalopram in Premature EjaculationBiosciences, Biotechnology Research Asia, 2014
- Risk Factors of Breast Problems in Mothers and Its Effects on NewbornsIranian Red Crescent Medical Journal, 2014
- Icterus Neonatorum in Near Term and Term Infants : An Overview = اليرقان الوليدي في الرضع الناضجين و القريبين من النضوج : نظرة عامةSultan Qaboos University Medical Journal, 2012
- Neonatal jaundice and human milkThe Journal of Maternal-Fetal & Neonatal Medicine, 2011
- 211 G to A Variation of UDP-Glucuronosyl Transferase 1A1 Gene and Neonatal Breastfeeding JaundicePediatric Research, 2011
- Understanding and managing breast milk jaundiceArchives of Disease in Childhood: Fetal & Neonatal, 2010
- Breastfeeding and JaundiceJournal of Perinatology, 2001
- Neonatal Jaundice in Full-term InfantsAmerican Journal of Diseases of Children, 1983