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Forum: Breastfeeding


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February 11th, 2013, 10:15 AM
Mega Super Mommy
Join Date: Mar 2010
Location: Illinois
Posts: 1,568
DH's cousin just had a little boy. Mama wants to BF and does, but because baby has jaundice the Dr told her to supplement. Baby did an over night stay because of it. I was never told this, maybe because I was using formula right after she was born or maybe it wasn't that bad. I was told to get her in the sun as much as possible. But this just seems like Dr wants to set up for failure. What is the difference if baby gets BM or formula? Either way he is eating...I don't dare say anything to her because she is a know it all, but I am curious.
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February 11th, 2013, 11:18 AM
ThaiSpice's Avatar Platinum Supermommy
Join Date: May 2009
Location: AR
Posts: 19,886
That's a good question, I think. It may depend on what else is going on with the baby, and without knowing that, it's hard to say. Grace had mild jaundice, and the doctor just said breastfeed as normal, and possibly try to get her in the sunlight some. It had resolved by one week old (and she was exclusively breast fed).

I thought this article had some good info: ABM Clinical Protocol #22: Guidelines for Management of Jaundice in the Breastfeeding Infant Equal to or Greater Than 35 Weeks' Gestation

And a quote from the article:
Breastfeeding infants should not be supplemented with water, glucose water, or formula. Supplementation with expressed breastmilk, banked human milk, or formula (in that order of preference) should be limited to infants with at least one of the following:
  • A clear indication of inadequate intake as defined by weight loss in excess of 10% after attempts to correct breastfeeding problems.
  • Failure in milk production or transfer adjusted for duration of breastfeeding and documented by pre- and post feeding weights after attempts to increase milk production and milk transfer.
  • Evidence of dehydration defined by significant alterations in serum electrolytes, especially hypernatremia, and/or clinical evidence of significant dehydration (poor skin turgor, sunken fontanelle, dry mouth, etc.).
Sometimes jaundice can be caused by not getting adequate fluid/caloric intake, but to a certain extent, newborns are likely to have elevated bilirubin levels anyway. And the above article mentioned that breast-fed babies may be more likely than formula-fed babies to have the jaundice continue into the second week (or later), even if intake is adequate, and that there might possibly be some unknown compound in breast milk that accounts for that.

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February 12th, 2013, 04:58 AM
mgm78's Avatar Zoe's mom Meredith
Join Date: Aug 2008
Location: PA
Posts: 17,089
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DD was jaundiced and we were told to just nurse a lot and put her naked in the window.

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