The opperant word in the Pediatrics study about jaundice is the word:
"starved."  A significant number of newborns are not quite ready to feed, or
are injured (the article mentions vacuum births and cephlahematomas).  When
inexperienced women or women without effective bfg helpers have one of these
babies and go home "breastfeeding" their babies can get into real trouble
with hyperbilirubinemia.  This is not a failure of breastfeeding, but rather
is a failure of the medical establishment to identify these high risk
infants and to adequately follow-up with them after discharge.  The 1997 AAP
Guidelines clearly state all bfg babies should be seen by the pedi during
the first few days after discharge, but all too often they don't see them
for 10-14 days.  This is inadequate care.

Barbara Wilson-Clay, BS, IBCLC
Austin Lactation Associates
LactNews Press
www.lactnews.com

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