Dear Beth, Your quote (perhaps taken from the article) mentioning "severe
hyperbilirubinemia associated with breastfeeding" is inherently flawed.
"Severe" hyperbili. is not associated with breast feeding but with LACK of
breast feeding and should be more appropriately termed "lack of breast milk
jaundice" (credit-Jack Newman). What too often occurs is that the baby only
APPEARS to be breast feeding, his mouth is moving in a suck like motion at
the breast and to the untrained eye- breast feeding-not! This is particulary
problematic before the "milk becomes more abundant" ,between days 3-5, and
not coincidentally when "severe" hyperbili. tends to occur. This is probably
more deftly described in the references already provided to you!
As an aside, you may want to use your referenced "Tan" article and the others
(hyperbili. r/t).published by him as a tool in your research class. Your
instructor can help you to Id areas that could be improved upon.
Lynn Shea Rn, Bsn, Ibclc

             ***********************************************
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