.
>>>>>And lest we forget, the baby who is getting one of these miracle
formulae is NOT getting the beneficial effects of colostrum...<<<<

Interesting that some hospitals still push the formula instead of colostrum
to treat jaundice.

My youngest son was born at 31 weeks after he crashed during an interuterine
blood transfusion to treat Rh disease (yes, I did have all my requisite
anti-D shots with my first two children, we don't know how I got
sensitized).  His bili shot up dramatically right after birth and he had a
full exchange transfusion at 12 hours of age.  Transfusion went well but his
bili started rising slowly again even with intense phototherapy.  He was on
TPN but was started immediately on my colostrum.  *Never* did anyone suggest
giving him formula to "flush" the bilirubin out.  We did have a brief
scuffle with the NICU "nutritionist" who wanted to give him HMF but we
reached an agreement to hold off on HMF and see how Evan did after he was on
full feeds of breastmilk.  Obviously, we were dealing with pathological, not
normal, jaundice.  We had a few tense days as his bili rose slowly.  But
when he reached full feeds of breastmilk, at about three days of age, his
bili dropped beautifully and he was out from under the lights at about 7-9
days...can't remember now.  He gained 12 oz a week on breastmilk alone and
was discharged at six weeks after his preemie apnea resolved.  We finally
achieved breastfeeding at the breast five days after discharge and he nursed
for 3.5 years.  He never had a drop of formula.

So, why do some hospitals give formula for normal physiologic jaundice when
our NICU never even considered giving my very ill baby formula
for pathologic jaundice?  Of course, my hospital has probably one of the
best lactation departments in the entire Pacific Northwest region of the
United States...maybe that has something to do with it.  ;-)

Oh, and this baby is now in kindergarten and plays chess!

Kathleen Salisbury, LLLL, IBCLC
Washington State, USA

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