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Thu, 27 Oct 2005 13:42:51 +0000 |
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Niki
I wonder about the wt gain. I am going to guess that baby is not being
weighed naked. It is imperative to get a nude wt in situations like this, in
my opinion. A 14 oz gain in 2 days is way plenty and the baby could have
cardiac issues if the wt gain is real. The cardiac issues would go along w/
poor milk transfer and hi bili levels. How old is baby now? Bili usually
peaks around about day 4 and of course the peak will be higher if baby not
eating/pooping well.
Home phototherapy w/ one light may not decrease the bili levels much. The
constant crying is very worrisome. If this was my client I would suggest a
consult for milk transfer evaluation and evaluation of mom's history and
possible low milk (if that has not already been done), and a consult w/ a
new pediatrician. From the info I gather from your posts, the current one is
not giving the mom enough info to explain the situation. Unfortunately (no
flames please) I have seen many pediatricians who are ignorant about
jaundice causes/treatment, and use of pediatlye. I have also witnessed
several pedis prescribe pedialyte for a week or more for a mild diarrhea in
a basically well baby and d/c the bf as well. Be careful what you say but
you can let mom know that she may be more comfortable w/ a new doctor and
remind her that she will want one that she can develop a long term trusting
relationship with.
Laurie Wheeler, IBCLC, MN, RN
Tupelo Mississippi, s.e. USA
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