780 THE “YELLOW BABY SYNDROME” (OR WHY WELL BABIES ARE JAUNDICED)

Abstract

We obtained maximum serum bilirubin (SB) levels in 2421 new-borns in our well baby nursery. SB was >12.9mg/dl in 147 (6.1%) and these infants were compared with 147 with SB <12.9mg/dl.Method of delivery, apgar scores, transient respiratory distress and gestation showed no significant associations. Discrepancies between univariate and logistic results, particularly with regard to feeding, occur because many factors are closely related and, therefore, confounding. Only 14% of BF mothers smoke vs 42% bottle feeding. Eighty percent of babies with SB >12.9 are BF and 79% of diabetic mothers BF. Excessive weight loss is more common in BF. Nevertheless, the findings suggest a role for caloric ceprivation as a contributor to jaundice. Further studies are needed to evaluate more precisely the contribution of these factors to the development of neonatal jaundice.