Hello.  I am a nursing student in Indianapolis, IN and was assigned to study 
and present a report on breastfeeding jaundice.  I am appreciative of this 
assignment as I have learned so much; however, my studies have raised many 
concerns for me.  JCAHO has issued an alert regarding BFJ and the alert 
focuses on improvements in patient care in order to prevent BFJ.  These 
improvements focus on assessment, follow-up care, education and aggressive 
action with babies that are not feeding effectively.
  As a future nurse who wishes to support breastfeeding in my clients, my 
question is this.  Are the hospitals in which so many of us work trying to 
implement effective ways to prevent BFJ in accordance with JCAHO's alert?  I 
am in the OB rotation right now and am not seeing any hospital regulations 
concerning the prevention of BFJ.  We are only keeping our clients for the 
minimum of days.  We have wonderful lactation consultants who work with our 
clients, but only for the brief amount of time that the hospital allows.  I am 
concerned about this as I wish to be an advocate for my client.  Will there be 
more hospital involvement concerning this issue?
  Thank you,

  Stephanie Lloyd, ITSN

  As breastfeeding rates rise, are we seeing more jaundice?  University of
     Medicine and Dentistry Of New Jersey.  Retrieved September 16, 2007,
     from www.undnj.edu.
  Breast milk jaundice.  February 27, 2004.  Medical College of Georgia. 
     Retrieved September 13, 2007.
  Davidson, London, Ladewig (2008).  Maternal newborn nursing & women's 
     health across the lifespan.  New Jersey:  Prentice Hall.
  Gartner, LM.  (2001)  Breastfeeding and jaundice.  NCBI, suppl 1:S25-9;
     discussion S35-9.  Retrieved September 16, 2007.  www.ncbi.com.
  Genna, Catherine Watson (August, 2005)  What is jaundice?  Retrieved 
     September 13, 2007, from www.medela.com.
  Leung AK, Sauve, RS  (1989)  Breastfeeding and breast milk jaundice.  
     NCBI suppl 109(6); discussion 213-7.  Retrieved September 16, 2007.
     www.ncbi.com.

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