Thank you to all who replied to my dilemma about the jaundice grandbaby,
your input greatly helped.

The good news, in the short version of this story, is that the baby now has
a bili of 13 at 7 days of age and is still breastfed.

What happened after I posted was a farce.....my daughter continued to
breastfeed based on her desire to continue to do so and my
encouragement.....the bili was drawn on Tuesday (at the hospital I practice
at) and found to be 24!!!   I saw the baby after blood drawn...did NOT look
that high.  Several phone calls later between the Peds, the Neonatologist
and myself (they were going through me because my daughter had not yet made
it home and I am often involved in tracking down mothers in cases like this
and because I am the grandmama!!!)....the baby was to be admitted to
another hospitals NICU...the plan was intense photo therapy and blood
transfusion and no breastfeeding.  As you can all well imagine, I FELT
AWFUL...thought I gave bad advice and made things worse.  Thankfully, the
bili was redrawn at the second hospital before too much was done...it was
17....... 2 points lower than the day before (we WERE all correct about
nursing being OK!).  Sad part is, baby had already gotten about 4 ounces of
formula (my daughter calls it baby poison), had an IV started and my
daughter and her husband as well as myself  were emotionally strung out.
It was decided to keep baby overnight on the overhead bililights since they
were already there...then they could be finished with the bili blanket at
home...the neonatologist said breastfeeding was best for the baby (as if we
didnt already know that) so he nursed through the night and they are home
today!     Final Diagnosis was ABO incompatibility and breastmilk jaundice.

A couple of you sent info on heat treating the milk, I am passing this on
to my daughter for the next baby....I am guessing that if it has happened
to both of her children...it will continue to happen to the rest!

Thanks again!

Lori Peters RN/IBCLC

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