Sorry about the aciidental last post sent too early!

In a message dated 1/7/1 4:03:44 PM, [log in to unmask] writes:

<< How jaundiced is the baby now?  If it was indeed caused by an ABO
incompatability, the levels can get quite high, especially if the baby is
also not eating much.  This will add to the lethargy.>>

The bili was at 15 when last tested. Jaundice is diminishing. Mom understands
that it is a contributing factor. The ped is monitoring it, but is
fortunately not over-reacting.

<<How much is this baby getting to eat each day?  What is the weight at this
time?  Trying to limit the amount of formula supplementation if the baby is
not getting much breastmilk is self-defeating - the baby will continue to be
lethargic with a poor suck until the calorie consumption is adequate.
Feeding a baby at breast with an SNS does not accomplish much if the baby is
not sucking properly or strongly enough. >>

The baby is being fed as much as he will eat. I know that sounds a little
odd, but he is really so sleepy that he even falls asleep with finger
feeding. Even so, he is taking in adequate nourishment. I do not have my
notes in front of me, but at his last weight check, he was on the upswing and
I had calculated his intake as being quite adequate. It is actually the mom
who prefers to supplement at the breast. She does seem to have a good sense
of her own limits and feels that this is emotionally beneficial to her. She
does not limit formula the way that you mean--she limits it only in the sense
that she feeds all of her EBM first.
Thank you for your help!
Jennifer Tow, IBCLC, CT, USA

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