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Arch Pediatr Adolesc Med. 1999;153:655-656.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The article on phototherapy for neonatal jaundice by Dr Tan¹ highlights several important issues for consideration. While he reports a "decreased response" to phototherapy in his breast-fed only group, I believe what he is observing is an interaction between the act of breast-feeding and the results of initiating phototherapy. It has been established that mother and infant separation has a negative effect on breast-feeding.² Phototherapy, as it is often done, requires that the infant be in a nursery or central area where mothers are only allowed visitation. Additionally, it gives the infant an "untouchable" aura, resulting in longer intervals between handling. These types of mother-infant separation interfere with the frequent interactions needed for effective breast-feeding. In this article, the group 2 infants began feeding at 15- to 60-minute intervals but changed to an average of 3-hour intervals while undergoing phototherapy. The author credits this change to "lactation presumably established," noting . . . [Full Text of this Article]

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