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Jaundice, terminating breast-feeding, and the vulnerable child
K Kemper1, B Forsyth, P McCarthy
1Department of Pediatrics, Yale University, New Haven, Connecticut.
Pediatrics
|November 1, 1989
Summary
Mothers of jaundiced newborns were more likely to stop breastfeeding and experience separation difficulties compared to mothers of non-jaundiced infants. These findings highlight the psychosocial impact of neonatal jaundice on maternal behavior.
Area of Science:
- Neonatal care
- Maternal and infant health
- Pediatric health
Background:
- Jaundice is a common condition in newborns requiring treatment.
- While treatments are effective, their impact on maternal attitudes and behavior is not well understood.
- This study investigates the psychosocial effects of neonatal jaundice on mothers.
Purpose of the Study:
- To determine if mothers of jaundiced infants exhibit different behaviors post-discharge compared to mothers of non-jaundiced infants.
- To assess differences in breastfeeding cessation, separation difficulties, and healthcare utilization.
- To understand the maternal experience beyond the clinical management of neonatal jaundice.
Main Methods:
- A comparative study surveying mothers of jaundiced and control infants.
- Data collected included maternal demographics, breastfeeding status, infant care practices, and healthcare use.
- Surveys administered at hospital discharge and one month post-discharge.
Main Results:
- No significant demographic differences between mothers of jaundiced and control infants.
- Mothers of jaundiced infants were more likely to have stopped breastfeeding by one month (42% vs 19%).
- Mothers of jaundiced infants reported greater difficulties with infant separation (31% vs 15%).
Conclusions:
- Neonatal jaundice and its treatment can negatively impact maternal behaviors, including breastfeeding and infant separation.
- Further support for mothers experiencing neonatal jaundice is warranted.
- Understanding these psychosocial impacts is crucial for comprehensive infant care.