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Possible roles of bilirubin and breast milk in protection against retinopathy of prematurity
Journal article   Peer reviewed

Possible roles of bilirubin and breast milk in protection against retinopathy of prematurity

Joanna S Kao, Jeffrey D Dawson, Jeffrey C Murray, John M Dagle, Susan K Berends, Susan B Gillen and Edward F Bell
Acta paediatrica (Oslo, Norway : 1992), Vol.100(3), pp.347-351
03/2011
DOI: 10.1111/j.1651-2227.2010.02069.x
PMCID: PMC3033479
PMID: 20969622

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Abstract

To explore the association of serum bilirubin level and breast milk feeding with retinopathy of prematurity (ROP) in preterm infants. We conducted a case-control study to examine the independent and combined effects of serum bilirubin and breast milk feeding on ROP risk in infants <32 weeks gestation or with birth weight <1500 g. Cases (66 infants with ROP) were matched with controls (66 infants without ROP) based on factors known to affect ROP risk. When analysed using the paired t-test, the peak bilirubin levels were lower in ROP cases than in controls (mean 7.2 vs. 7.9 mg/dL; p = 0.045). Using conditional logistic regression, we found a negative association between highest serum bilirubin level and risk of ROP (OR = 0.82 per 1-mg/dL change in bilirubin; p = 0.06). There was no significant association between breast milk feeding and risk of ROP. Bilirubin may help to protect preterm infants against ROP.
Breast Feeding Retinopathy of Prematurity - blood Infant, Very Low Birth Weight Humans Risk Factors Male Gestational Age Case-Control Studies Bilirubin - blood Infant, Premature Female Retinopathy of Prematurity - prevention & control Retrospective Studies Infant, Newborn Milk, Human

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