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Dear Zoe,
Sadly for this mum, the AAP CLINICAL PRACTICE GUIDELINE on
"Management of Hyperbilirubinemia in the Newborn Infant 35 or More
Weeks of Gestation"
<http://aappolicy.aappublications.org/cgi/content/full/pediatrics;114/1/297>
only suggests the use of formula in the breastfed baby in conjunction
with phototherapy, and not as a primary treatment.
"RECOMMENDATION 7.3: In breastfed infants who require phototherapy
(Fig 3), the AAP recommends that, if possible, breastfeeding should be
continued (evidence quality C: benefits exceed harms). It is also an
option to interrupt temporarily breastfeeding and substitute formula.
This can reduce bilirubin levels and/or enhance the efficacy of
phototherapy63–65 (evidence quality B: benefits exceed harms). In
breastfed infants receiving phototherapy, supplementation with
expressed breast milk or formula is appropriate if the infant's intake
seems inadequate, weight loss is excessive, or the infant seems
dehydrated."
Fig 3. Guidelines for phototherapy is a graph as the threshold
increases with gestational age, so you would need to look at that
graph with the knowledge of this baby's gestational age to find the
info you want.
HTH, Fiona
--
Dr. Fiona Clements MBBS
ABA Counsellor
MumsRight podcaster www.lrc.asn.au/podcast/podcast.html
oneclick iTunes subscription to MumsRight
itpc://www.lrc.asn.au/podcast/mumsright.xml
"There is no feeding equal to breast feeding" Dr. W G Armstrong
City Health Officer, Sydney NSW 1900
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