Dear All,
I had such a frustrating time last week and would like some assistance.
I had 3 moms, all in one week, call me after discharge confused with the 
orders they were recieving from their peds office. I had assisted all 3 moms in 
the hospital and they were all doing well despite their birth experiences ( 2 
had hematomas from vaccum and 3rd C/S).
All 3 were jaundice at F/U appointment at peds. One had already gained 4 oz, 
1 had gained 1oz and the last had maintained. They were told to breastfeed 
every 2 hours and to give 1 oz of formula to flush out the bili. The highest # 
of the 3 was 15 on day 4. All babies were feeding well, frequent stools. They 
had all come to my prenatal class and were calling me for advice.
I spend my day doing damage control!!!!!
 They were all told there is an enzyme in the breastmilk that will keep the 
higher levels of jaundice. One of the docs in this practice says they need 
formula to create biochemical activity in the liver to rid of the bili??? Why is it 
that they think it is ok to compromise the baby's gut with ABM when the 
breastfeeding is going well?????
I go to lecture frequently and when I heard Dr. Newman in April he said that 
babies are not jaundice because of breastfeeding because of lack of 
breastfeeding.
I am going to approach this Dr. to discuss this since this is her protocol for 
jaundice and breastfeeding. I just needed to ask all of you for help as I want 
to have it clear in my head what the correct info it. ( Which I know but need 
to hear it from the wise ones) Is there really an enzyme? I don't remember 
hearing that. I am going to give her the ABM protocol for supplementation and 
was wondering if there was anything else anyone would recommend. 
Thank you in advance for any words of wisdom. Praying that this week will be 
better than last. NOT!!
Molly Shakar RN, IBCLC

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