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1965) Ethnic group differences in plasma bilirubin levels of full-term, healthy Singapore newborns. Pediatrics 36: 745-751. Cable, T. , and Rothenberger. L. A. (1984) Breast-feeding behavioral patterns among La Leche league mothers: A descriptive survey. Pediatrics 73:830-835. Cashore, W. (1991) Neonatal hyperbilirubinemia: Comment. New York State Journal of Medicine 91:477478. Cashore W. , Gartner, L. , and Stern, L. (1978) Clinical application of neonatal bilirubin-binding determinations: Current status.

Determination of a serum bilirubin level triggers a cascade of laboratory tests— 17 18 EVOLUTIONARY MEDICINE usually one or more follow-up bilirubin values and perhaps other hematologic tests (Newman et al. 1990). While it is important to distinguish hemolytic from nonhemolytic jaundice, the majority of these tests provide little useful information in the management of bilirubin (Newman and Maisels 1992; Newman et al. 1990). However, the act of monitoring an elevated bilirubin level in an otherwise healthy infant, with or without treatment, can lead to adverse psychological and behavioral consequences.

1982) Hyperbilirubinemia in Inuit neonates. Canadian Medical Association Journal 126:811-813. Robinson, S. H. (1968) The origins of bilirubin. New England Journal of Medicine 279:143-149. Rogers, P. , Vreman, H. , Dennery, P. , and Stevenson, D. K. (1994) Sources of carbon monoxide (CO) in biological systems and applications of CO detection technologies. Seminars in Perinatology 18:2—10. Rubatelli, F. F. (1993) Unconjugated and conjugated bilirubin pigments during perinatal development, IV: The influence of breast-feeding on neonatal hyperbilirubinemia.

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