Breastfeeding and jaundice: cause for concern?

Naacog'S Clinical Issues in Perinatal and Women'S Health Nursing
|January 1, 1992
PubMed

Insights

Neonatal jaundice is common in breastfed infants, often with unexplained aspects. This review explores causes, patterns, and treatments, examining healthcare practices affecting breastfeeding and infant jaundice.

Area of Science:

  • Neonatal Medicine
  • Pediatrics
  • Lactation Studies

Background:

  • Jaundice affects 50-75% of newborns, with higher incidence and severity in breastfed infants.
  • Despite extensive research, many factors contributing to neonatal jaundice in healthy breastfed infants remain unclear.
  • Understanding these factors is crucial for optimizing infant health and breastfeeding support.

Purpose of the Study:

  • To review the types, patterns, and causes of jaundice in healthy breastfed neonates.
  • To discuss the potential impact of various treatment options on neonatal jaundice.
  • To explore healthcare practices that may inadvertently affect breastfeeding duration and jaundice severity.

Main Methods:

  • Literature review of existing studies on neonatal jaundice in breastfed infants.
  • Analysis of patterns and causes of jaundice.
  • Discussion of treatment modalities and their effects.
  • Exploration of clinical practices and interventions.

Main Results:

  • Breastfed infants experience jaundice more frequently and severely.
  • Specific types, patterns, and underlying causes in this population require further elucidation.
  • Certain healthcare practices may negatively influence breastfeeding and exacerbate jaundice.

Conclusions:

  • Further research is needed to fully understand the multifactorial nature of jaundice in breastfed neonates.
  • Optimizing clinical practices is essential to support breastfeeding and minimize jaundice severity.
  • A comprehensive approach is necessary to address unexplained aspects of neonatal jaundice in breastfed infants.

Related Concept Videos

Parental Care01:37

Parental Care

Many animals exhibit parental care behavior, including feeding, grooming, and protecting young offspring. Parental care is universal in mammals and birds, which often have young that are born relatively helpless. Several species of insects and fish, as well as some amphibians, also care for their young.
Changes in Skin Color: Clinical Perspectives01:14

Changes in Skin Color: Clinical Perspectives

The first thing a clinician sees is the skin, so the examination of the skin should be part of any thorough physical examination. Most skin disorders are relatively benign, but a few, including melanomas, can be fatal if untreated. A couple of the more noticeable disorders, albinism and vitiligo, affect the appearance of the skin and its accessory organs.
Albinism
Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, hair, and eyes. The defect is primarily...
Teratogenicity01:07

Teratogenicity

The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
Development of Immunocompetence01:22

Development of Immunocompetence

The initiation of cell-mediated immunity can be observed as early as the third month of fetal growth, with active antibody-mediated immunity following approximately one month later.
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...
Diseases of the Liver and Gallbladder01:26

Diseases of the Liver and Gallbladder

Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not related to...
Jaundice01:25

Jaundice

Jaundice, or icterus, is the yellow discoloration of the skin, sclerae, and mucous membranes. It happens when plasma bilirubin levels rise above 2.5-3 mg/dL, leading to bilirubin deposition in tissue.Bilirubin is a byproduct of hemoglobin degradation. In macrophages, hemoglobin breaks down into globin and heme. Globin is converted into amino acids, while heme is turned into biliverdin by heme oxygenase, which is then reduced to unconjugated bilirubin by biliverdin reductase.Unconjugated...