Dr. John Chovan
Neonatal, Hyperbilirubinemia, Jaundice, Breastfeeding, Phototherapy
Medicine and Health Sciences | Nursing
Neonatal jaundice is one of the most common conditions in neonates, with 60-80% of infants experiencing some degree of increased serum bilirubin levels (Itoh, Okada, Kuboi, & Kusaka, 2017). Physiological jaundice is most commonly noted in the first week of life, with rising and peak levels occur between day of life three to five (Moncrieff, 2018) All infants experience a rise in serum bilirubin following birth due to their immature liver’s inability to clear the byproduct of red blood cell breakdown, bilirubin, from the blood (Gardner, Carter, Hines, & Hernandez, 2016). Hyperbilirubinemia can be caused by a variety of factors including, not limited to, infection, breast feeding, hemolytic disease of the newborn, maternal-fetal blood type incompatibility, drugs, gestational diabetes, birth trauma, prematurity, hypothyroidism, and galactosemia. The most commonly seen cause of hyperbilirubinemia in the outpatient settings is breastfeeding. (Gardner et al., 2016)
Lord, Sara, "Breastfeeding-Associated Neonatal Hyperbilirubinemia" (2018). Master of Science in Nursing (MSN) Student Scholarship. 279.