Helen--

I am left wondering why the doctor even started phototherapy for a bili of 11?  It seems around that point is where we stop phototherapy.  What was the baby's weight?  Was he/she premature?  What was the hematocrit? Was the baby showing signs of dehydration? Even if we get a baby in for phototherapy after being home for several days, it will depend on the hydration/nutritional status of the baby whether or not we supplement the baby.  Our doctors are getting good at ordering a lactation consult quickly to help determine if there is anything that needs to be corrected regarding breastfeeding. Early phototherapy may be started if the rate of increase in the bilirubin is excessive & the baby shows significant bruising or there is an ABO incompatibility.  Also, you mentioned that baby & mother were the same blood type & coombs negative, yet in the last sentence mentioned that the doctor diagnosed an ABO incompatibility?  None of it seems to add up.

Linda Madsen, RN, CPN, IBCLC

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iWon.com       http://www.iwon.com     why wouldn't you?
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