There is a belief, again based on a study somewhere, that an enzyme in human milk causes, or sets the sage for, or raises bilirubin levels.

It may not just be the switch to formula, but the switch to overfeeding with formula to make baby poop more and thereby moving the bilirubin out of the gut faster. 

HCPs and Nurses are often convinced that mom's milk supply is inadequate because the feed can't be completed in 30 min, leaving baby full enough so he sleeps soundly for the next 3 hours (required time under the lights) without crying for mom. The time restrictions inevitably lead to mom's engorgement. And when she learns that the nurse had to feed baby formula after mom left because "he didn't get enough" leaves mom feeling incompetent.

Again, I'd like to read the studies.
Phyllis

---- "Robin Roots wrote: 

=============
I had the same thing happen just two days ago.  Dr said the exact same 
thing.  Mom's milk was in so volume was not an issue.  The peds said 
supplement with formula....gggrrrrrhhhh...

So, I would love to see the data on this as well.  Can someone help us 
hospital consultants out.  :)

tia,
robin

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--
Phyllis Adamson, IBCLC, RLC
Glendale, AZ.
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