Beta glucuronidase and hyperbilirubinaemia in breast fed infants of diabetic mothers.

Sirota, L; Ferrera, M; Lerer, N; Dulitzky, F · Arch Dis Child · 1992

prospective_cohort · Level II

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Abstract

A prospective study was performed comparing bilirubin concentrations in 10 breast fed term infants of diabetic mothers (IDM) to those of 10 breast fed normal term infants. The beta-glucuronidase concentrations in serum and breast milk were assayed in the respective mothers. Significantly higher bilirubin concentrations were noted in the IDM group. Serum and breast milk beta-glucuronidase concentrations were significantly higher in diabetic mothers as compared with those of non-diabetic mothers. We suggest that the high concentration of beta-glucuronidase in breast milk of diabetic mothers is an additional important cause leading to hyperbilirubinaemia in their breast fed infants.

Medical subject headings