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The effect of hospital phototherapy on early breastmilk feeding
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| Zeitschriftentitel: | Paediatric and Perinatal Epidemiology |
|---|---|
| Personen und Körperschaften: | , , , , |
| In: | Paediatric and Perinatal Epidemiology, 35, 2021, 6, S. 717-725 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
Wiley
|
| Schlagwörter: |
| author_facet |
Digitale, Jean C. Chang, Pearl W. Li, Sherian X. Kuzniewicz, Michael W. Newman, Thomas B. Digitale, Jean C. Chang, Pearl W. Li, Sherian X. Kuzniewicz, Michael W. Newman, Thomas B. |
|---|---|
| author |
Digitale, Jean C. Chang, Pearl W. Li, Sherian X. Kuzniewicz, Michael W. Newman, Thomas B. |
| spellingShingle |
Digitale, Jean C. Chang, Pearl W. Li, Sherian X. Kuzniewicz, Michael W. Newman, Thomas B. Paediatric and Perinatal Epidemiology The effect of hospital phototherapy on early breastmilk feeding Pediatrics, Perinatology and Child Health Epidemiology |
| author_sort |
digitale, jean c. |
| spelling |
Digitale, Jean C. Chang, Pearl W. Li, Sherian X. Kuzniewicz, Michael W. Newman, Thomas B. 0269-5022 1365-3016 Wiley Pediatrics, Perinatology and Child Health Epidemiology http://dx.doi.org/10.1111/ppe.12794 <jats:title>Abstract</jats:title><jats:sec><jats:title>Background</jats:title><jats:p>The effect of phototherapy on breastmilk feeding is unclear.</jats:p></jats:sec><jats:sec><jats:title>Objective</jats:title><jats:p>To estimate the effect of inpatient phototherapy on breastmilk feeding at 2‐month well‐child visits.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>We performed a retrospective cohort study using electronic health record data. From births at 16 Kaiser Permanente Northern California hospitals (2013–2017), we identified a cohort of infants ≥ 35 weeks’ gestation with total serum bilirubin levels close to the American Academy of Pediatrics 2004 phototherapy threshold during their birth hospitalisation. We compared self‐reported breastmilk feeding at 2‐month well‐child visits among those who had and had not received birth hospitalisation phototherapy, adjusting for bilirubin levels and other confounding variables. We used multiple imputation (K = 200) to address missing data.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Approximately a quarter of infants in the cohort (24.5%) received phototherapy during their birth hospitalisation. At the 2‐month visit, exclusive breastmilk feeding was less common (RR 0.91, 95% interval [CI] 0.88, 0.95) among those who received phototherapy (41.3%) than those who did not (45.2%). However, no association remained after adjusting for potential confounders (RR 0.99, 95% CI 0.95, 1.04; average treatment effect on the treated [ATET] −0.2%, 95% CI −2.0%, 1.5%). In contrast, any breastmilk feeding was similar between infants who did (76.8%) and did not get phototherapy (77.9%). After adjusting for confounders, phototherapy had a slightly positive association with any breastmilk feeding at 2 months (RR 1.02, 95% CI 1.00, 1.04). Among infants who received phototherapy, the proportion being fed any breastmilk at the 2‐month visit was an estimated 1.6 percentage points higher than it would have been if they had not received phototherapy (ATET 1.6%, 95% CI 0.1%, 3.1%). Multiple imputation results were similar.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Birth hospitalisation phototherapy can be delivered in a way that does not adversely affect breastmilk feeding at 2 months.</jats:p></jats:sec> The effect of hospital phototherapy on early breastmilk feeding Paediatric and Perinatal Epidemiology |
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Wiley, 2021 |
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Wiley, 2021 |
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The effect of hospital phototherapy on early breastmilk feeding |
| title_unstemmed |
The effect of hospital phototherapy on early breastmilk feeding |
| title_full |
The effect of hospital phototherapy on early breastmilk feeding |
| title_fullStr |
The effect of hospital phototherapy on early breastmilk feeding |
| title_full_unstemmed |
The effect of hospital phototherapy on early breastmilk feeding |
| title_short |
The effect of hospital phototherapy on early breastmilk feeding |
| title_sort |
the effect of hospital phototherapy on early breastmilk feeding |
| topic |
Pediatrics, Perinatology and Child Health Epidemiology |
| url |
http://dx.doi.org/10.1111/ppe.12794 |
| publishDate |
2021 |
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717-725 |
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<jats:title>Abstract</jats:title><jats:sec><jats:title>Background</jats:title><jats:p>The effect of phototherapy on breastmilk feeding is unclear.</jats:p></jats:sec><jats:sec><jats:title>Objective</jats:title><jats:p>To estimate the effect of inpatient phototherapy on breastmilk feeding at 2‐month well‐child visits.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>We performed a retrospective cohort study using electronic health record data. From births at 16 Kaiser Permanente Northern California hospitals (2013–2017), we identified a cohort of infants ≥ 35 weeks’ gestation with total serum bilirubin levels close to the American Academy of Pediatrics 2004 phototherapy threshold during their birth hospitalisation. We compared self‐reported breastmilk feeding at 2‐month well‐child visits among those who had and had not received birth hospitalisation phototherapy, adjusting for bilirubin levels and other confounding variables. We used multiple imputation (K = 200) to address missing data.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Approximately a quarter of infants in the cohort (24.5%) received phototherapy during their birth hospitalisation. At the 2‐month visit, exclusive breastmilk feeding was less common (RR 0.91, 95% interval [CI] 0.88, 0.95) among those who received phototherapy (41.3%) than those who did not (45.2%). However, no association remained after adjusting for potential confounders (RR 0.99, 95% CI 0.95, 1.04; average treatment effect on the treated [ATET] −0.2%, 95% CI −2.0%, 1.5%). In contrast, any breastmilk feeding was similar between infants who did (76.8%) and did not get phototherapy (77.9%). After adjusting for confounders, phototherapy had a slightly positive association with any breastmilk feeding at 2 months (RR 1.02, 95% CI 1.00, 1.04). Among infants who received phototherapy, the proportion being fed any breastmilk at the 2‐month visit was an estimated 1.6 percentage points higher than it would have been if they had not received phototherapy (ATET 1.6%, 95% CI 0.1%, 3.1%). Multiple imputation results were similar.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Birth hospitalisation phototherapy can be delivered in a way that does not adversely affect breastmilk feeding at 2 months.</jats:p></jats:sec> |
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| author | Digitale, Jean C., Chang, Pearl W., Li, Sherian X., Kuzniewicz, Michael W., Newman, Thomas B. |
| author_facet | Digitale, Jean C., Chang, Pearl W., Li, Sherian X., Kuzniewicz, Michael W., Newman, Thomas B., Digitale, Jean C., Chang, Pearl W., Li, Sherian X., Kuzniewicz, Michael W., Newman, Thomas B. |
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| description | <jats:title>Abstract</jats:title><jats:sec><jats:title>Background</jats:title><jats:p>The effect of phototherapy on breastmilk feeding is unclear.</jats:p></jats:sec><jats:sec><jats:title>Objective</jats:title><jats:p>To estimate the effect of inpatient phototherapy on breastmilk feeding at 2‐month well‐child visits.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>We performed a retrospective cohort study using electronic health record data. From births at 16 Kaiser Permanente Northern California hospitals (2013–2017), we identified a cohort of infants ≥ 35 weeks’ gestation with total serum bilirubin levels close to the American Academy of Pediatrics 2004 phototherapy threshold during their birth hospitalisation. We compared self‐reported breastmilk feeding at 2‐month well‐child visits among those who had and had not received birth hospitalisation phototherapy, adjusting for bilirubin levels and other confounding variables. We used multiple imputation (K = 200) to address missing data.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Approximately a quarter of infants in the cohort (24.5%) received phototherapy during their birth hospitalisation. At the 2‐month visit, exclusive breastmilk feeding was less common (RR 0.91, 95% interval [CI] 0.88, 0.95) among those who received phototherapy (41.3%) than those who did not (45.2%). However, no association remained after adjusting for potential confounders (RR 0.99, 95% CI 0.95, 1.04; average treatment effect on the treated [ATET] −0.2%, 95% CI −2.0%, 1.5%). In contrast, any breastmilk feeding was similar between infants who did (76.8%) and did not get phototherapy (77.9%). After adjusting for confounders, phototherapy had a slightly positive association with any breastmilk feeding at 2 months (RR 1.02, 95% CI 1.00, 1.04). Among infants who received phototherapy, the proportion being fed any breastmilk at the 2‐month visit was an estimated 1.6 percentage points higher than it would have been if they had not received phototherapy (ATET 1.6%, 95% CI 0.1%, 3.1%). Multiple imputation results were similar.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Birth hospitalisation phototherapy can be delivered in a way that does not adversely affect breastmilk feeding at 2 months.</jats:p></jats:sec> |
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| institution | DE-Pl11, DE-Rs1, DE-105, DE-14, DE-Ch1, DE-L229, DE-D275, DE-Bn3, DE-Brt1, DE-D161, DE-Gla1, DE-Zi4, DE-15 |
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| spelling | Digitale, Jean C. Chang, Pearl W. Li, Sherian X. Kuzniewicz, Michael W. Newman, Thomas B. 0269-5022 1365-3016 Wiley Pediatrics, Perinatology and Child Health Epidemiology http://dx.doi.org/10.1111/ppe.12794 <jats:title>Abstract</jats:title><jats:sec><jats:title>Background</jats:title><jats:p>The effect of phototherapy on breastmilk feeding is unclear.</jats:p></jats:sec><jats:sec><jats:title>Objective</jats:title><jats:p>To estimate the effect of inpatient phototherapy on breastmilk feeding at 2‐month well‐child visits.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>We performed a retrospective cohort study using electronic health record data. From births at 16 Kaiser Permanente Northern California hospitals (2013–2017), we identified a cohort of infants ≥ 35 weeks’ gestation with total serum bilirubin levels close to the American Academy of Pediatrics 2004 phototherapy threshold during their birth hospitalisation. We compared self‐reported breastmilk feeding at 2‐month well‐child visits among those who had and had not received birth hospitalisation phototherapy, adjusting for bilirubin levels and other confounding variables. We used multiple imputation (K = 200) to address missing data.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Approximately a quarter of infants in the cohort (24.5%) received phototherapy during their birth hospitalisation. At the 2‐month visit, exclusive breastmilk feeding was less common (RR 0.91, 95% interval [CI] 0.88, 0.95) among those who received phototherapy (41.3%) than those who did not (45.2%). However, no association remained after adjusting for potential confounders (RR 0.99, 95% CI 0.95, 1.04; average treatment effect on the treated [ATET] −0.2%, 95% CI −2.0%, 1.5%). In contrast, any breastmilk feeding was similar between infants who did (76.8%) and did not get phototherapy (77.9%). After adjusting for confounders, phototherapy had a slightly positive association with any breastmilk feeding at 2 months (RR 1.02, 95% CI 1.00, 1.04). Among infants who received phototherapy, the proportion being fed any breastmilk at the 2‐month visit was an estimated 1.6 percentage points higher than it would have been if they had not received phototherapy (ATET 1.6%, 95% CI 0.1%, 3.1%). Multiple imputation results were similar.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Birth hospitalisation phototherapy can be delivered in a way that does not adversely affect breastmilk feeding at 2 months.</jats:p></jats:sec> The effect of hospital phototherapy on early breastmilk feeding Paediatric and Perinatal Epidemiology |
| spellingShingle | Digitale, Jean C., Chang, Pearl W., Li, Sherian X., Kuzniewicz, Michael W., Newman, Thomas B., Paediatric and Perinatal Epidemiology, The effect of hospital phototherapy on early breastmilk feeding, Pediatrics, Perinatology and Child Health, Epidemiology |
| title | The effect of hospital phototherapy on early breastmilk feeding |
| title_full | The effect of hospital phototherapy on early breastmilk feeding |
| title_fullStr | The effect of hospital phototherapy on early breastmilk feeding |
| title_full_unstemmed | The effect of hospital phototherapy on early breastmilk feeding |
| title_short | The effect of hospital phototherapy on early breastmilk feeding |
| title_sort | the effect of hospital phototherapy on early breastmilk feeding |
| title_unstemmed | The effect of hospital phototherapy on early breastmilk feeding |
| topic | Pediatrics, Perinatology and Child Health, Epidemiology |
| url | http://dx.doi.org/10.1111/ppe.12794 |