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Date: | Sat, 15 Feb 1997 14:06:04 +0000 |
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Jeanette's comments on advice given by two drs is sad commentary, but all
too frequently what most of us hear.
I use a logarithm that follows Total and direct bilirubin and what to look
for when levels are greater than or lower than. If I see a bestfed baby at
2-3 weeks who is "still" yellow and growing nicely, I do one bili to assure
that we are probably not dealing with anything exotic like biliary
obstruction etc. Then I just watch the yellow baby thrive on mom's milk!
Sorry I don't know orig source of logarithm. The only details on it are
page 236, Chapter 16: Neonatal Hyperbilirubinemia. I think it was a ped text.
Many HCPs think that BF babies have infrequent BMs. This is a widely held
notion. The problem is that it is BF babies over 6 wks of age who tend to
stool less frequently. In all my years of seeing moms and babies I've only
seen 2 who truly stooled infrequently right from the beginning. I agree
with the experts who think that stooling in the first days is a better
indicator of intake than wet diapers. I find this begins to change around
7-8 days, to more wet, less stool. But a good gaining bestfed baby stools a
lot in the first few weeks. Anyone else agree? Wish we could do a good
survey and publish what the true norm is for a BF baby!
Do you know, according to Rogers it takes about 20 years for any new info to
filter into use? Don't get discouraged. Pat Young in SNJ
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