Pat writes, << This baby's bili went into the teens on day 1, and has hovered there, coming down with lights and going back up after lights are discontinued. The highest was 19 at day 5. With lights she was 16 at day 7. Then her count went back up to 17. Lights again brought it to 15. Baby is now 10 days old and mom says that she is yellow again--all way to tops of hands and feet. >> Pat, has anyone considered Lucey-Driscoll Syndrome (Transient Familial Neonnatl Hyperbilirubinemia)? There is a potent, but unidentified inhibitor of glucuronyl transferase in both mother and infant, and both have to be tested for it. The inhibitor disappears from both mom & babe by end of second week and bili goes down. Sometimes an exchange transfusion needs to be done. Bili skyrockets on day 1 & 2 -- way out of proportion to what is normal. There is no hemolysis. I've had a couple of moms/babies that I've suspected this of (in hindsight) -- now that I know about it of course, I'll never see another mom/baby who fits this profile. Reference: Gartner, L. "Disorders of bilirubin metabolism" (Vol 1, Chap. 4) in Hematology of Infancy & Childhood, Ed. nathan & Oski, 4th edition, Saunders, 1993, p. 90) Jan Barger, in sunny Wheaton where we are going to see our college (Taylor University) daughter in the cornfields of Indiana tomorrow!! Yeah!! *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html