Salariya E M, Robertson C M
Midwifery. 1993 Dec;9(4):235-42. doi: 10.1016/0266-6138(93)90007-f.
The incidence of neonatal jaundice is reported to have increased in relation to breast feeding and various factors are thought to contribute to this either singularly or in concert. In a group of 150 full-term healthy babies, feeding types and gut transit time of meconium were examined. The findings demonstrated significant differences between feeding types and time taken to evacuate total meconium (p < 0.0001), weight loss/gain patterns (p < 0.0005) and the incidence of moderately severe jaundice (p < 0.01) during the early neonatal period. Baby feeding types were clearly defined in the study and a stool colour comparator was used to facilitate identification and classification of all stool colour transition from meconium through to yellow. Maximum weight loss was found to occur on the second day after delivery and in many instances the lost weight was regained by the baby on the fifth day. Exceptions to this were babies who fed ineffectively or inadequately. These outcomes suggest that the assistance and advice given to mothers and babies, by midwives and others, to achieve effective feeding practices in the days following birth is of paramount importance to the baby's immediate wellbeing.
据报道，与母乳喂养相关的新生儿黄疸发病率有所上升，人们认为各种因素单独或共同导致了这种情况。在一组150名足月健康婴儿中，对喂养方式和胎粪的肠道转运时间进行了检查。研究结果表明，在新生儿早期，喂养方式与排出全部胎粪所需时间（p < 0.0001）、体重减轻/增加模式（p < 0.0005）以及中度严重黄疸的发生率（p < 0.01）之间存在显著差异。在该研究中，婴儿喂养方式得到了明确界定，并使用了粪便颜色比较器，以方便识别和分类从胎粪到黄色的所有粪便颜色转变。发现最大体重减轻发生在出生后的第二天，在许多情况下，婴儿在第五天恢复了丢失的体重。喂养无效或不足的婴儿是例外情况。这些结果表明，助产士和其他人员在产后几天向母亲和婴儿提供帮助和建议，以实现有效的喂养方式，对婴儿的即时健康至关重要。
