Pam:
the new AAP policy statement on Breastfeeding and the Use of Human Milk,
published in Pediatrics, Vol ll5 No. 2 February 2005, pp. 496-506, and
available online at www.AAP.org states:

under the heading Recommendations on Breastfeeding for Healthy Term Infants
#1 Pediatricians and other health care professionals should recommend human
milk for all infants in whom breastfeeding is not specifically
contraindicated and provide parents with complete, current information on
the benefits and techniques of breastfeeding to ensure that their feeding
decision is a fully informed one. *When direct breastfeeding is not
possible, expressed human milk should be provided. If a contraindication to
breastfeeding is identified, consider whether the contraindication may be
temporary, and if so, advise pumping to maintain milk production. Before
advising against breastfeeding or recommending premature weaning, weigh the
benefits of breastfeeding against the risks of not receiving human milk.

#4 Supplements (water, glucose water, formula, and other fluids) should not
be given to breastfeeding newborn infants unless ordered by a physician
when a medical indication exists.

#8 All breastfeeding newborn infants should be seen by a pediatrician or
other knowledgeable and experienced health care professional at 3 to 5 days
of age.....weight loss in the infant of greater than 7% from birth weight
indicates possible breastfeeding problems and requires more intensive
evaluation of breastfeeding and possible intervention to correct problems
and improve milk production and transfer.

Under the section titled Conditions that are not contraindications to
breastfeeding, note that "For the great majority of newborns with jaundice
and hyperbilirubinemia, breastfeeding can and should be continued without
interruption. In rare instances of severe hyperbilirubinemia, breastfeeding
may need to be interrupted temporarily for a brief period."

I think they covered all the bases, from the hospital stay to 3-5 days.
Hope this is helpful to you.

Niki Konchar, IBCLC

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