I hope the doctors and nurse practitioners and others who are primary care
providers respond. I have a client who is expressing milk for her baby. She
does not want to directly breastfeed (I see this occasionally) but is
willing to express. That is not the issue. Her baby had a bilirubin level of
23 in less than 24 hours. The pediatrician has done only CBC and bili levels
and treated with double phototherapy which has been effective. My thought is
that this is obviously pathologic and in absence of positive Coombs test
what might the diagnosis be? Is it wise for the family to pursue what the
pathology might me? Would you as the LC suggest this? The baby has been a
poor bottle feeder per the nursery nurses.
Laurie Wheeler, IBCLC, MN, RN
New Orleans Louisiana, s.e. USA




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