Nikki asking if the use of pit has an impact on GER reminded me of a
recent interchange with our Peds.  We have noticed an increase in
babies being readmitted for high bilirubins lately.  The Peds/Neo
staff has been trying to pinpoint possible factors.  Our supervisor
noted that all were breastfed (we do have >80% initiation, so that's
not too surprising) and right away seemed to be implying that we
(the LCs) were doing something wrong-specifically "scaring moms off
from supplementing".  Interestingly enough, at the next Peds
meeting, the chair had compiled a list of over 20 things to look at,
the last one of which was breastfeeding teaching and support.  He
specifically mentioned that pit can contribute to elevated bilis
(don't know his reference) and we do have a lot of inductions and
augmentations.  Callibration of lab machines was one thing to look
at.  We moved into a new unit about the time the increase seemed to
occur and one person even raised the question of residual chemicals
from new carpeting, etc.  Interesting question.

Have any others of you associated with hospitals noticed an increase
in high bilis?  What have you attributed it to?

Winnie

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