Hi all,
I work at a community telephone triage service, and I handle a lot of BF
calls.  Tonight the Mom calling had a 4 day old (born Sunday) with a
bili of 17.  The pediatrician had her pumping and feeding half breast
milk and half formula because the formula would flush it out sooner.
Today the Mom asked if she could put the baby to breast and the peds
said no!  She wanted to continue this half and half bottle feeding.
When I said 17 wasn't really high, she said the doc had said that they
wouldn't start to worry until it was 20 and really worry at 25!  I said
something about research showing that you don't need formula, and that
to continue breastfeeding was best for the baby.  My co-worker asked me
about contradicting the doc.  I told her I really didn't feel that I had
(I never said she was wrong, or an idiot, or she shouldn't do it that
way), but that I had offered her evidence based information.  I felt
that was appropriate.  My co-worker was concerned.  Granted my co-worker
is not an IBCLC, but I felt my responsibility was to give correct
information, and could have gone into more detail, but the Mom had not
asked, and offered that she was talking with an LC in the am.  What do
some of you think about this situation?
Thanks,
Sue Kasten
Eugene, Oregon, USA

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