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On both occasions that I attended lectures by Jack Newman, once in Israel as
a guest of La Leche and again in Glasgow where he addressed the NCT Annual
conference, he actually said that jaundice in the first three days was a
normal physiological condition - provided of course that it does not reach
severely elevated levels. He said there should not be any rush to treat it
and healthy full-term babies should just be breastfed as much as possible so
that the colostrum would flush out the meconium.
That man talks such sense!!!
Wendy Blumfield
NCT ANT Tutor/BFC
Israel Childbirth Education Centre
----- Original Message -----
From: "Jaye Simpson, IBCLC" <[log in to unmask]>
Sent: Tuesday, June 03, 2008 5:48 PM
Subject: Bilirubin and jaundice
> Actually formula does seem to pull bilirubin out of the body much faster.
> In some cases this is a good thing - not in others.
>
>
>
> Can't give you the references but I distinctly remember a conference where
> this was discussed in detail. Bilirubin is actually an antioxidant - this
> is a good thing. This may be why breastmilk doesn't pull it out so fast
> or
> allows the rise. Even when baby is nursing well, they have a rise in
> bilirubin and then it falls because the baby is stooling. Around day 5+
> or
> so is when breastmilk jaundice would set in - but we aren't talking about
> day 5 right now. :-)
>
>
>
> Antioxidants are a good thing for us - so we don't WANT the bilirubin to
> be
> pulled out too fast - that would rob baby of the positive antioxidant
> effect
> of bilirubin they are supposed to get.
>
>
>
> However, when BF is not going well and baby is not getting enough milk of
> course the bili levels can get too high which can be dangerous. And we
> have
> some babies who, tho they are BF well, their bili levels get way too high
> for other reasons. In this case, the use of ABM could be helpful in
> pulling
> out the bilirubin before it causes any harm to baby. Not that I am a fan
> of
> using ABM - I'd much rather use more breastmilk first. But I have seen
> cases where even that did not reduce the levels well enough and using a
> bit
> of ABM did the trick and put baby back in the safety range.
>
>
>
> Sadly, too many will jump to ABM as a first resort with the mistaken
> belief
> that any jaundice is a bad thing - when actually it is a normal thing. I
> wish I could remember who did this research and gave this info.If someone
> else can place their finger on that bit of info that would be quite
> helpful.
> Also, if someone can find the info that shows I am way off base here
> please
> let me know! :-)
>
>
>
> Warmly,
>
> Jaye
>
>
>
> Jaye Simpson, IBCLC, CIIM
>
> Breastfeeding Network
>
> Sacramento, CA
>
> www.breastfeedingnetwork.net
>
>
>
>
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