I work with a fair number of Oriental mothers(well educated).  Last week
an Oriental father became quite upset with the pediatrician for ordering
phototherapy(Wallabye).  Baby had a bili of 23mg/dl, 6+ wets, stooling
good, feeding well.  Father states jaundice is normal in Oriental babies
and did not want the baby re-drawn or treated.  Is there a different
base/standard for bilirubin in China?  Most of my Oriental mothers will
nurse but always insist there is no milk the first 3 days and want to
feed formula and bf those first 3 days.  If higher bilirubin is
acceptable for Oriental babies, is there reference materials available
for the pediatricians?  What is the standard of care in hospitals in
China?  Is there a higher incidence of brain damage in China?
Sara Macy, RN IBLC

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