PEDIATRICS Vol. 73 No. 4 April 1984, pp. 520-525
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Jaundice in the Full-Term Neonate

Lucy M. Osborn MD1, Michael I. Reiff MD1, and Roger Bolus PhD1

1 From the Division of Primary Care Pediatrics, Department of Pediatrics, University of California at Los Angeles Medical Center, Los Angeles

Hyperbilirubinemia is the most common problem experienced by the full-term infant in the immediate neonatal period. The development of jaundice was prospectively investigated in 866 newborns. Significant correlations were found between the serum bilirubin level and the method of birth, perinatal complications, blood group incompatibilities, birth weight, and method of feeding. Breast-feeding was highly related to the development of exaggerated jaundice. The most common occurrence of jaundice requiring phototherapy was in breast-feeding infants in whom no cause for the jaundice could be determined. Study findings were most compatible with a theory of relative caloric deprivation as an explanation of the increased incidence of hyperbilirubinemia found in breast-fed newborns.

Key Words: neonatal hyperbilirubinemia • exaggerated jaundice • breast milk jaundice

Submitted on May 17, 1983
Accepted on June 22, 1983




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