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Breast milk jaundice in preterm infants
L Sirota1, M Nussinovitch, J Landman
1Neonatology Unit, Hasharon Hospital, Petah-Tiqva, Israel.
Clinical Pediatrics
|April 1, 1988
Summary
Premature breast milk combined with formula may increase bilirubin levels in preterm infants. This feeding strategy also increased the need for phototherapy compared to formula alone.
Area of Science:
- Neonatology
- Pediatric Gastroenterology
Background:
- Hyperbilirubinemia is common in preterm infants.
- Nutritional management is crucial for preterm infant health.
Purpose of the Study:
- To compare bilirubin levels in preterm infants fed a combination of premature breast milk and formula versus formula alone.
- To assess the impact of feeding strategies on hyperbilirubinemia and phototherapy requirements.
Main Methods:
- Retrospective study comparing two groups of preterm newborns.
- Group 1: fed premature breast milk and formula (n=40).
- Group 2: fed formula only (n=60).
- Bilirubin levels and phototherapy rates were analyzed.
Main Results:
- Higher bilirubin levels observed in the combined diet group on day 6 and discharge.
- 76.7% of infants on combined diet required phototherapy versus 45% on formula alone.
- Premature breast milk in combination with formula was associated with increased hyperbilirubinemia.
Conclusions:
- Combined feeding of premature breast milk and formula may lead to elevated bilirubin levels in healthy preterm newborns.
- This feeding approach necessitates closer monitoring for hyperbilirubinemia and potential phototherapy.