Dear Friends:
    There are studies that look at the number of feeds  and relationship to 
bilirubin levels. Check out DeCarvalho, Yamouchi and  Yamanouchi, and 
Varimo...............babies that fed more frequently in the  first 1-3 days (generally 
greater than 9 feeds/day) had very low levels of  bilirubin.
    I realize that this is not quite the same thing  that Deb was looking 
for, but babies have to feed early if they are to feed  enough.
    The document from the WHO, Evidence for  the ten steps to successful 
breastfeeding, gives lots of references to  support the step that says "Help 
mothers initiate breastfeeding within a  half-hour of birth".
 
_http://www.who.int/child-adolescent-health/publications/NUTRITION/WHO_CHD_98.
9.htm_ 
(http://www.who.int/child-adolescent-health/publications/NUTRITION/WHO_CHD_98.9.htm) 
    
        Anecdotally, Dr. Barbara  Phillips is quoted describing the 
difficulty in finding newborns with  hyperbilirubinemia at Boston Medical Center, 
because it is a Baby-Friendly  Hospital.
        A google search of the  topic should also prove useful.
       I look forward to reading about  the findings of your study, Deb.
    warmly,
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE
Maternal-Child Adjunct  Faculty Union Institute and University
Film Reviews Editor, Journal of Human  Lactation
www.breastfeedingalwaysbest.com

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