Riccardo Davanzo, Paola Cavicchioli, Massimo Agosti, Carlo Dani
{"title":"Mother infant zero separation for neonatal jaundice: we are getting closer.","authors":"Riccardo Davanzo, Paola Cavicchioli, Massimo Agosti, Carlo Dani","doi":"10.1186/s13052-025-02104-6","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Although phototherapy represents the standard of care for preventing bilirubin neurotoxicity, it can have both short- and long-term adverse effects. Moreover, phototherapy can interfere with mother-infant relationship and breastfeeding.</p><p><strong>Main body: </strong>As phototherapy quickly converts the bilirubin in the skin compartment and in the cutaneous circulation into harmless photo-isomers, during the following 2-3 h the effect of phototherapy is limited, leading to the plausibility for an effective intermittent phototherapy, which in fact has been recently documented both in preterm and term neonates.</p><p><strong>Conclusions: </strong>Cyclic phototherapy can help reduce mother-infant separation to a minimum, thus promoting the development of the mother-infant relationship and, ultimately, exclusive breastfeeding.</p>","PeriodicalId":14511,"journal":{"name":"Italian Journal of Pediatrics","volume":"51 1","pages":"254"},"PeriodicalIF":3.1000,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12357473/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Italian Journal of Pediatrics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s13052-025-02104-6","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Although phototherapy represents the standard of care for preventing bilirubin neurotoxicity, it can have both short- and long-term adverse effects. Moreover, phototherapy can interfere with mother-infant relationship and breastfeeding.
Main body: As phototherapy quickly converts the bilirubin in the skin compartment and in the cutaneous circulation into harmless photo-isomers, during the following 2-3 h the effect of phototherapy is limited, leading to the plausibility for an effective intermittent phototherapy, which in fact has been recently documented both in preterm and term neonates.
Conclusions: Cyclic phototherapy can help reduce mother-infant separation to a minimum, thus promoting the development of the mother-infant relationship and, ultimately, exclusive breastfeeding.
期刊介绍:
Italian Journal of Pediatrics is an open access peer-reviewed journal that includes all aspects of pediatric medicine. The journal also covers health service and public health research that addresses primary care issues.
The journal provides a high-quality forum for pediatricians and other healthcare professionals to report and discuss up-to-the-minute research and expert reviews in the field of pediatric medicine. The journal will continue to develop the range of articles published to enable this invaluable resource to stay at the forefront of the field.
Italian Journal of Pediatrics, which commenced in 1975 as Rivista Italiana di Pediatria, provides a high-quality forum for pediatricians and other healthcare professionals to report and discuss up-to-the-minute research and expert reviews in the field of pediatric medicine. The journal will continue to develop the range of articles published to enable this invaluable resource to stay at the forefront of the field.