Going back about a million years - one of the AAP statements on jaundice
(Larry Gartner one of the authors -- look for the AAP breastfeeding
committee stuff, it will be most useful) includes "insufficient
breastfeeding" as one of the risk factors for elevated bili levels.

It is. Along with elevated hemolysis - read bruised kids from vacuum
extractor and forceps use.

And if your reason for using formula is to "get those kids out of here,
we're not getting paid enough" then maybe it would be more cost effective to

1) Do as much skin to skin as possible (we've seen a DRASTIC decrease in
hyperbilirubinemia stays since doing a PI - performance improvement -
project that got vaginally born babies STS right away) and
2) Getting more lactation help, whether it's educating nurses or hiring
IBCLCs
3) Buy everybody a copy of Linda Smith's new book when it comes out (no
financial interest - but we need to revolutionize consumer birth practices
again here ladies)

Really, I strongly advise figuring out what's going on before you spend lots
of energy trying to address something that isn't the root cause. (I'm not
dissing you and your hopes of getting info, just hoping to get that energy
going the right way!)

Best regards,
Dawn Kersula MA, RN, IBCLC who sometimes is surprised at how often that
developmental psych grad degree rears its smart little head and barks!

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