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Thu, 15 Feb 2007 15:55:45 -0500 |
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Hi. I am a hospital based lactation counselor and have been "lurking" for a
while. I enjoy the posts and have been learning a lot--thank you. I just
recently revised our hyperbilirubinemia policy and came across this statement
in the AAP's "Management of Hyperbilirubinemia in the Newborn Infant 35 or
More Weeks of Gestation". In referring to hydration issues, it states that
the best fluid to use (in mildly dehydrated infants) is a milk-based formula
because it inhibits the enterohepatic circulation of bilirubin and should help to
lower the serum bilirubin level.
I remember recent posts on this issue and don't recall that anyone came up
with good evidence that formula in and of itself can lower bilirubin levels
anymore than any fluid (especially breastmilk) could. Did I miss something?
This statement was not referenced and bugs me--is it true? One more reason
for docs to supplement before giving breastfeeding a chance.
Denise Schuler BSN, RNC, CLC
Powell Valley Healthcare
Powell, Wyoming
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