The Neonatal Bowel Output Study: Indicators of Adequate Breast Milk Intake
in Neonates
Posted 08/07/2006

Linda C. Shrago; Elizabeth Reifsnider; Kathleen Insel

Abstract and Introduction

Abstract
Purpose: This study describes the bowel habits of neonates who were
exclusively breastfed during the first 14 days following birth to determine
whether bowel output (frequency and character) could be used as a proxy
measure for adequate breast milk intake.

Study Design: A prospective, descriptive study was conducted. During the
14-day study period, mothers kept a log of their infants' daily naked
weight, number of feedings, number of daily bowel movements, and color of
all bowel movements.

Participants: One hundred thirty-one participants were enrolled in the
study; 73 participants completed the study.

Findings: Findings indicate that more bowel movements per day during the
first 5 days following birth were significantly associated with less initial
weight loss, earlier transition to yellow bowel movements, earlier return to
birth weight, and heavier weight at 14 days.

Conclusions: These findings suggest that scant bowel output during the first
5 days following birth, or delayed transition of bowel movements to yellow,
warrant weighing the infant in a health care professional's office.

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Best wishes,
Heather "Sam" Doak




Heather "Sam" Doak
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