----- Original Message -----
From: <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, June 03, 2008 8:44 PM
Subject: [LACTNET] Formula/ EBM and bilirubin
**Hello Nancy,
> Formula DOES decrease bilirubin faster
**That may be true, but as some already asked: is that what we want? Is that
what is needed, as long as the levels are acceptable?
for two reasons - you are usually
> giving more of it
**If the matter is that EBM is not being given in big enough quantities,
shouldn't we then promote giving *more cc's breastmilk* instead of turing to
AIM...?
and elemental formulas drop it faster than regular formulas.
**The one formula may have an advantage *in this respect* to the other
(don't know, I'm not knowledgeable about AIM), but to me that doesn't seem
to be the right question ("does formula X help faster than formula Y?"),
considering all the *disadvantages* AIM brings, even with one bottle,
especially not when that bottle is supposed to bring bili-levels down that
are not even high enough to be risky.
I think the appropriate questions are, in the right sequence: "Is
breastfeeding going well? If not, how can we improve it? If baby doesn't
drink enough, can we get extra milk from the breast by pumping? Are
bililevels really too high, or do we miss certain bits of knowledge that
would explain why it is okay for bili's to be somewhat higher than in ff
babies? Does EBM take the levels down enough to be safe, even if they are
not down as far as we would like to see them in due time?" We could probably
still ask more questions, but imo these are the most important ones.
What do you think...?
Kindly,
Marianne Vanderveen, Netherlands
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