I am again seeking some information from all wise participants of this
list.

In the past 2 weeks we have had two newborns readmitted to the hospital
with quite high bilirubins.  Both infants were 5 days old and had bilis
of 25 and 27.  (Ironically both infants had the same pediatrician)

It is our practice to call moms 2-3 days after discharge, just to see
how things are going.  We were unable to speak to one of the mothers but
I did speak to the other and  with the exception of stools not turning
yellow by day 4, things sounded as though they were going well.
( she made no mention of the jaundice)  Ironically, the infant was
admitted the very next day.

I am wondering if we are missing something.  We ask about:
        # of wet diapers in 24hrs
        # and color of stools in 24 hrs
        # of feedings in 24 hrs
        length of feedings
        any supplements
        nipple soreness
        breast fullness
        audible swallowing

I talked with the neonatologist about how the number of voidings and
stools were what we consider to be wnl (voids 3-4 day 3,   4-5 day 4,
stools  2 or more).  He said that probably amount was not sufficient and
ofcourse his suggestion was supplementing with formula any baby that
didnot settle and sleep after nursing.
One of the infants they feel was very dehydrated with weight loss of
about 1# from birth weight.  Other baby had an admission s/g of 1.005.

Anything else we can ask with our phone calls to identify problems?
Sorry about the length  of this posting.

Judy Hatfield RNC  IBCLC

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