LACTNET Archives

Lactation Information and Discussion

LACTNET@COMMUNITY.LSOFT.COM

Options: Use Forum View

Use Monospaced Font
Show Text Part by Default
Show All Mail Headers

Message: [<< First] [< Prev] [Next >] [Last >>]
Topic: [<< First] [< Prev] [Next >] [Last >>]
Author: [<< First] [< Prev] [Next >] [Last >>]

Print Reply
Subject:
From:
Fiona Clements <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 1 May 2007 09:50:29 +1000
Content-Type:
text/plain
Parts/Attachments:
text/plain (42 lines)
Dear Zoe,
Sadly for this mum, the AAP CLINICAL PRACTICE GUIDELINE on
"Management of Hyperbilirubinemia in the Newborn Infant 35 or More
Weeks of Gestation"
<http://aappolicy.aappublications.org/cgi/content/full/pediatrics;114/1/297>
only suggests the use of formula in the breastfed baby in conjunction
with phototherapy, and not as a primary treatment.
"RECOMMENDATION 7.3: In breastfed infants who require phototherapy
(Fig 3), the AAP recommends that, if possible, breastfeeding should be
continued (evidence quality C: benefits exceed harms). It is also an
option to interrupt temporarily breastfeeding and substitute formula.
This can reduce bilirubin levels and/or enhance the efficacy of
phototherapy63–65 (evidence quality B: benefits exceed harms). In
breastfed infants receiving phototherapy, supplementation with
expressed breast milk or formula is appropriate if the infant's intake
seems inadequate, weight loss is excessive, or the infant seems
dehydrated."

Fig 3. Guidelines for phototherapy is a graph as the threshold
increases with gestational age, so you would need to look at that
graph with the knowledge of this baby's gestational age to find the
info you want.

HTH, Fiona
-- 
Dr. Fiona Clements MBBS
ABA Counsellor
MumsRight podcaster  www.lrc.asn.au/podcast/podcast.html
oneclick iTunes subscription to MumsRight
itpc://www.lrc.asn.au/podcast/mumsright.xml
"There is no feeding equal to breast feeding" Dr. W G Armstrong
City Health Officer, Sydney NSW 1900

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
Mail all commands to [log in to unmask]
To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or [log in to unmask])
To unsubscribe: unsubscribe lactnet or ([log in to unmask])
To reach list owners: [log in to unmask]

ATOM RSS1 RSS2