Why are frequent feedings encouraged in newborns with hyperbilirubinemia?

• A. Promote bilirubin conjugation in the liver
• B. Decrease bilirubin production
• C. Increase bilirubin reabsorption in the gut
• D. Increase bilirubin excretion in stool

Answer: (D)

Frequent feedings help bilirubin leave the body by boosting stool output and reducing the amount that is reabsorbed from the gut. In newborns, bilirubin is excreted into the intestines via bile, and much of it leaves the body in stool. If stooling is infrequent, bilirubin can be reabsorbed back into the bloodstream through the gut. By feeding often, the baby passes stool more regularly, which increases bilirubin elimination in the stool and lowers blood levels. Adequate hydration from feeds also supports gut motility and prevents dehydration that could slow transit. So, the main benefit is increasing bilirubin excretion in stool.