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KMID : 0361720130240040259
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Korean Journal of perinatology
2013 Volume.24 No. 4 p.259 ~ p.264
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The Effect of Continuing Breastfeeding during Treatment of Breast Milk Jaundice
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Ahn Eun-Sub
Kim Min-Kyun
Lee Yeon-Kyung
Ko Sun-Young
Youn So-Young
Jeong Go-Un
Pack Sung-Won
Shin Son-Moon
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Abstract
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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 there covery. 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, aswell 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 to talbilirubin <13 mg/dL) between two groups (P =0.066). However, the group with temporary stop of breastfeeding 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.
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KEYWORD
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Breast feeding, Whole milk feeding, Breast milk jaundice
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