Differences in transcutaneous bilirubin readings in Japanese term infants according to feeding method

Citation
S. Itoh et al., Differences in transcutaneous bilirubin readings in Japanese term infants according to feeding method, PEDIATR INT, 43(1), 2001, pp. 12-15
Citations number
17
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Pediatrics
Journal title
PEDIATRICS INTERNATIONAL
ISSN journal
1328-8067 → ACNP
Volume
43
Issue
1
Year of publication
2001
Pages
12 - 15
Database
ISI
SICI code
1328-8067(200102)43:1<12:DITBRI>2.0.ZU;2-R
Abstract
Background: Controversy has existed for many years over whether infant feed ing methods are related to serum bilirubin concentrations during the first few days of life. Differences in initial jaundice patterns according to the feeding method until 72 h after birth have not been elucidated hitherto. T he difference may become clear in Japanese neonates because jaundice shows a much higher peak bilirubin concentration and a later peak in Japanese neo nates than in Caucasian neonates. Methods: In the present study, we investigated variations in the transcutan eous bilirubin reading (TcB) obtained within 72 h after birth among 177 bre ast-fed and 494 formula-fed healthy Japanese term neonates. Results: There was no difference between TcB in formula-fed and breast-fed infants until the first 30 h, after which time the rate of increase in TcB was lower in formula-fed infants. Among breast-fed neonates, a good linear regression between time after birth and TcB was maintained. Similarly, weig ht losses in breast-fed infants at 24-48 h and 48-72 h after birth were gre ater than those in formula-fed infants. Conclusions: The jaundice pattern in Japanese neonates from 30 to 72 h afte r birth according to the feeding method was different from that in Caucasia n neonates.