Hi All,

I am a hospital based consultant and fairly new to this particular
hospital/city so I don’t know all the “players” very well.  I had a family
today with a 36+4 weeker who was doing quite well.  Feeding well with 7% wt
loss and mom’s milk coming/in on day two.  Increased bilirubin with
phototherapy started and order to supplement given today.  I suggested that
mom pump first (after feeding at breast) as to supplement with EBM instead
of formula.  Mom then said “I know, but the doctor said that formula helps
binds with the bilirubin better to get it lower quicker.”  I know this is
not true, but I want to confront this doctor with some actual research or
written information.  Is there any truth to what this doctor said and does
anybody have any articles that I could bring to this doctor?  I have
searched the archives with no success.  Oh, and wouldn't you know, she
pumped almost 2ozs after feeding.  Argh!

Thanks in advance,

Carrie Thayer RN, BSN, IBCLC
Southern California, USA

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