Hi Susan.  You are spot on!  The babies I saw readmitted for exaggerated
jaundice were not breastfeeding well.  Baby being AT the breast is not the
same as baby breastfeeding efficiently.  The mothers often had sore nipples.

Yamauchi  and Yamanouchi (1990) compared 140 newborns:
Group A: Bf less than 7 times during first 24 hours
Group B: Bf between 7 – 11 times during first 24 hours

Group B took:
84% more milk on their 2nd day
54% more milk on their 3rd day
86% more milk on their 5th day

They also explored the link to jaundice and again looked at  how frequently
babies breastfed in the first 24 hours.  Exaggerated jaundice on day 6 was
confirmed in:

28% of babies who breastfed 1 – 2 times
24.5% of babies who breastfed 3 - 4 times
15% of babies who breastfed 5 - 6 times
12% of babies who breastfed 7 - 8 times
0% of babies who breastfed 9 - 11 times

Jean Ridler  RN  RM  IBCLC
Cape Town, South Africa

>  Is there a relationship between exclusive breastfeeding during the
hospital stay,
> with no supplements, and a higher readmission rate for phototherapy? My
> manager asked me about this. My first thought is that the babies
readmitted for
> phototherapy had mostly been 'pretending' to breastfeed and not doing much
> active swallowing. Susan in Mnrn ibclc
> ____________________________________________________________

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