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Ahn, Kim, Lee, Ko, Yoon, Jung, Pack, and Shin: The Effect of Continuing Breastfeeding during Treatment of Breast Milk Jaundice
Original Article

Korean J Perinatol 2013;24(4):259-264.

Published online: 19 January 2013

DOI: https://doi.org/10.7469/CSD.2013.24.4.259

The Effect of Continuing Breastfeeding during Treatment of Breast Milk Jaundice

Eun Sub Ahn, M.D., Minkyun Kim, M.D., Yeon Kyung Lee, M.D, Sun Young Ko, M.D., So Young Yoon, M.D., Goun Jung, M.D., Sung Won Pack, M.D., Son Moon Shin, M.D.

Departments of Pediatrics, Cheil General Hospital & Women's Health Care Center, Kwandong University College of Medicine, Seoul, Korea

주관책임자 : 신손문, 100-380, 서울시 중구 묵정동 1-19 관동대학교 의과대학 제일병원 소아청소년과전화 : 02)2000-7771, 전송 : 02)2000-7778 E-mail : smshinmd@hanmail.net

Received 29 August 2013       Revised 17 October 2013       Accepted 31 October 2013

Copyright © 2013 Korean Society of Perinatology

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose :

Though it is a general and common method to temporarily stop breast feeding and use whole milk instead for neonatal breast milk jaundice, it may cause some difficulties in continuing breast feeding after the recovery. We study the effect of continuing breast feeding on the treatment of breast milk jaundice and the success of breast feeding afterwards.

Methods :

We retrospectively analyzed the medical records of 59 neonates who were admitted to Cheil general hospital from Jan 2008 to Aug 2012 for phototherapy due to breast milk jaundice. Subjects were divided into two groups, one with continuing breast feeding (35 cases) during treatment and the other with stopping breast feeding (24 cases). We examined and compared the changes in the level of serum total bilirubin between two groups, as well as the difficulties the mothers might had in continuing or restarting breast feeding after the discharge.

Results :

There was no significant difference in times of treatment (until reaching the level of serum total bilirubin <13 mg/dL) between two groups (P=0.066). However, the group with temporary stop of breast feeding had difficulties such as nipple confusion and breast engorgement compared to breast feeding group (P= 0.001). In long-term follow up, the breast feeding duration (P=0.017) and the rate of exclusive breast feeding for 6 months (P=0.024) were also significantly higher in breast feeding group.

Conclusions :

We suggest that continuing breast feeding while treating breast milk jaundice is helpful both for successfully continuing breast feeding and preventing problems after discontinuing breast feeding.

Keywords: Breast feeding, Whole milk feeding, Breast milk jaundice

REFERENCES

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Table 1.
Clinical Characteristics of the Study Populations
  Formula Feeding Group (n=24) Breastfeeding Group (n=35) ) P value
Maternal age (years) 32.4±9.9 32.5±3.8 0.193
Gestational age (weeks) 38.5±0.9 38.4±1.0 0.674
Birth weight (g) 3,319±277 3,145±424.3 0.112
Route of delivery      
Vaginal (%) 18 (75) 27 (77.1) 0.849
Cesarean (%) 6 (25) 8 (22.9)
Weight gain at admission (%) 0.1±4.2 1.2±9.0 0.076
Postnatal age at admission (days) 11.4±3.3 12.1±4.6 0.511
Parity      
1st baby (%) 2nd baby (%) 9 (37.5) 13 (54.2) 22 (62.9) 13 (37.1) 0.105
Serum albumin (g/dL) 3.78±0.22 3.78±0.31 0.977
Serum bilirubin at admission (mg/dL) 19.7±1.7 19.6±1.5 0.746

Data expressed as mean±SD or number (%)

Table 2.
Comparison of Outcomes between Groups
F ormula Feeding group (N=24 ) Breast feeding group (N=3 35) P value
Duration of phototherapy (hours) 44.5±15.4 37.4±11.5 0.066
Serum bilirubin change (mg/dL/hour) 0.24±0.09 0.26±0.10 0.378
Breastfeeding problems∗ 6/16 (37.5) 0/24 (0) 0.001
Duration of breastfeeding (months) 6.0±4.4 10.9±6.0 0.017
Exclusive breastfeeding for the first six months 8/16 (50.0) 20/24 (83.3) 0.024

Data expressed as mean±SD or number (%) ∗Nipple confusion, cracked nipples, breast engorgement, mastitis

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