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首页> 外文期刊>Breastfeeding medicine: the official journal of the Academy of Breastfeeding Medicine >Is There Any Effect of Hyperbilirubinemia on Breastfeeding? If Any, at Which Level?
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Is There Any Effect of Hyperbilirubinemia on Breastfeeding? If Any, at Which Level?

机译:Hyperbilirubinemia对母乳喂养有什么影响吗? 如果有的话,在哪个级别?

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Objectives: We wanted to investigate whether hyperbilirubinemia (significant or physiological) has an effect on breastfeeding, milk intake, infant's wakefulness, and if any, which level of bilirubin affects breastfeeding. Materials and Methods: Healthy, term, and breastfed babies with significant hyperbilirubinemia who required phototherapy were included in the study (group 1, n = 71). In the neonatal outpatient clinic, a control group was formed from babies with physiological jaundice (group 2, n = 90). All infants were monitored during breastfeeding and breastfeeding was evaluated with breastfeeding assessment tools (IBFAT and LATCH) and milk intake was assessed by test scale. The same examinations were repeated after phototherapy when normal bilirubin levels were reached. Results: Milk intake, Infant Breastfeeding Assessment Tool (IBFAT) (IBFAT total score [IBFAT(T)], IBFAT first item score [IBFAT(1)], IBFAT sixth item score [IBFAT(6)]), and LATCH scores were significantly lower in group 1 than the control group (p = 0.001). In group 1, the amount of milk intake, IBFAT and LATCH scores after phototherapy increased significantly compared to prephototherapy values (p = 0.001). Looking at the correlation matrix in the whole study group (groups 1 and 2) there were moderate but very significant negative correlations between bilirubin and milk intake (r = 0.32, p = 0.001), IBFAT(T) (r = 0.47, p = 0.001), IBFAT(1) (r = 0.57, p = 0.001), IBFAT(6) (r = 0.65, p = 0.001), and LATCH scores (r = 0.49, p = 0.001). In the receiving operating characteristics analysis, the cutoff bilirubin value was found to be 12 mg/dL. Conclusion: Hyperbilirubinemia may have a negative effect on breastfeeding and milk intake. It appears that bilirubin levels above 12, including in babies with physiological jaundice, adversely affect breastfeeding.
机译:目的:我们想调查高胆管素血症(重大或生理)对母乳喂养,牛奶摄入量,婴儿的醒及,以及胆红素水平影响母乳喂养的影响。材料和方法:在研究中包含具有显着毛细血管血症的健康,术语和母乳喂养婴儿(第1组,N = 71)。在新生儿门诊诊所中,由生理黄疸的婴儿形成对照组(第2组,N = 90)。所有婴儿在母乳喂养期间监测,并通过母乳喂养评估工具(IBFAT和闩锁)评估母乳喂养,并通过测试规模评估乳汁摄入量。在达到正常的胆红素水平后,在光疗后重复相同的检查。结果:牛奶摄入量,婴幼儿母乳喂养评估工具(IBFAT)(IBFAT总分数[IBFAT(T)],IBFAT第一项评分[IBFAT(1)],IBFAT第六项评分[IBFAT(6)])和闩锁分数是组1的显着低于对照组(P = 0.001)。在第1组中,与Prophot疗法值相比,光疗后,光疗后的奶入摄入量,IBFAT和闩锁分数增加(p = 0.001)。在整个研究组(组1和2组)中观察相关矩阵,胆红素和奶牛摄入量之间存在中等但非常显着的负相关(r = 0.32,p = 0.001),IBFAT(T)(r = 0.47,p = 0.001),IBFAT(1)(r = 0.57,p = 0.001),IBFAT(6)(r = 0.65,p = 0.001)和锁定分数(r = 0.49,p = 0.001)。在接受操作特性分析中,发现截止胆红素值是12mg / dL。结论:高胆管素血症可能对母乳喂养和奶粉产生负面影响。似乎12岁以上的胆红素水平,包括患有生理黄疸的婴儿,对母乳喂养产生不利影响。

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