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Subject:
From:
Carole Jernigan <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 2 Sep 2002 05:14:11 -0700
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Have to chime in here...

Why do health care providers continue to give WATER to
infants in an attempt to lower bilirubin levels?
There is no data that I have yet read that supports
the logic of this practice.

Unconjugated, lipid-soluble bilirubin, whose build up
can lead to elevated bilirubin levels and/or clinical
jaundice, is cleared by the GI tract, not by the
kidneys.  This is simple physiologic fact.  From this
standpoint, and from the research, I see no benefit in
giving water as a course of treatment.  From a purely
nutritional standpoint, what benefit is shown by
filling a tiny infant stomach with a non-caloric
liquid that contains NONE of the lipids, protein, or
carbos needed for normal growth and energy
requirements?

If there is a new study indicating there is
physiologic benefit to giving water, to lower
bilirubin or for any other reason, can someone post
the source so I can update my info?

Feeling frustrated this AM...
Carole Jernigan, BSN and IBCLC hopeful
who has her copy of Riordan and Auerbach in her lap

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