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Subject:
From:
Vaishali Kute <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 25 Oct 2005 06:33:39 -0400
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Hi Niki,

This situation does not seem like a set up for Rh or ABO incompatibility. 
There may be incompatibility of a minor factor. In any case, the jaundice 
is not severe enough to require treatment but needs to be watched. 
I agree with you about the fluids and breastmilk. THe AAP guidelines are 
pretty clear about that so you could show that to the doctor. I'm horrified 
that any physician would recommend pedialyte for jaundice.

Find out if a Coombs test or direct antibody test was done on the baby. 
This test detects the presence of an antibody that may be causing hemolysis 
or destruction of ed blood cells. If this is negative, there is no 
incompatibility.

BTW, I would probably do the triple feeding with this baby if he is sleepy 
and sluggish: feed, pump, feed evey 2-3 hrs. By now mom should have plenty 
of milk

Vaishali Kute, MD FAAP IBCLC

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