vspВопросы современной педиатрииCurrent Pediatrics1682-55271682-5535Издательство «ПедиатрЪ»10.15690/vsp.v22i6.2656vsp-3351Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEWЖелтуха грудного молокаBreast Milk Jaundicehttps://orcid.org/0000-0002-8717-2539БеляеваИ. А.BelyaevaIrina A.

Беляева Ирина Анатольевна - доктор медицинских наук, профессор Российской академии наук, заведующая отделом преконцепционной, антенатальной и неонатальной медицины НИИ педиатрии и охраны здоровья детей НКЦ №2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского» Минобрнауки России; профессор кафедры факультетской педиатрии педиатрического факультета ФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России; врач-неонатолог ГБУЗ МДКБ ДЗМ.

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irinaneo@mail.ruhttps://orcid.org/0000-0002-6677-2914БомбардироваЕ. П.BombardirovaElena P.

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https://orcid.org/0009-0007-3515-018XКурнатовскаяЕ. О.KurnatovskayaElena O.

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Морозовская ДГКБ; РНИМУ им. Н.И. Пирогова; НИИ педиатрии и охраны здоровья детей НКЦ №2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского»РоссияMorozovskaya Children’s City Hospital; Pirogov Russian National Research Medical University; Research Institute of Pediatrics and Children’s Health in Petrovsky National Research Centre of SurgeryRussian FederationНИИ педиатрии и охраны здоровья детей НКЦ №2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского»РоссияResearch Institute of Pediatrics and Children’s Health in Petrovsky National Research Centre of SurgeryRussian FederationМорозовская ДГКБРоссияMorozovskaya Children’s City HospitalRussian Federation202311012024226498505Copyright © Беляева И.А., Бомбардирова Е.П., Курнатовская Е.О., 20232023Беляева И.А., Бомбардирова Е.П., Курнатовская Е.О.Belyaeva I.A., Bombardirova E.P., Kurnatovskaya E.O.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vsp.spr-journal.ru/jour/article/view/3351

Представлены результаты современных исследований патогенеза желтухи грудного молока — распространенной формы неонатальной желтухи. Охарактеризованы основные факторы риска, а также методы диагностики, позволяющие исключить другие формы желтушного синдрома при рецидивирующих и затяжных желтухах у новорожденных. Представлены основные подходы к терапии желтухи грудного молока. Обсуждены дискуссионные вопросы показаний к использованию фототерапии. Обоснована целесообразность сохранения грудного вскармливания при развитии желтухи грудного молока. Несмотря на относительно благоприятное течение и исходы желтухи грудного молока, это состояние требует внимания педиатров. Отмечена необходимость продолжения исследований патогенетической терапии пациентов с желтухой грудного молока.

The results of modern studies on breast milk jaundice pathogenesis, that is common form of neonatal jaundice, are presented. The major risk factors and diagnostic methods (excluding other forms of jaundice syndrome at recurrent and lingering jaundice in newborns) were defined. The main therapy approaches for breast milk jaundice were presented. Issues of phototherapy indications were discussed. The feasibility of maintaining breastfeeding in case of breast milk jaundice development was proved. This condition requires the attention of pediatricians despite the relatively favorable course and outcomes. The need to continue studies on pathogenetic therapy of such patients was noted.

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The authors declare that there are no conflicts of interest present.