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Subject:
From:
"Catherine Watson Genna, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 18 May 2005 16:03:25 -0400
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The baby is gaining weight well? At least 7-8 oz per week?
Biliary atresia is one reason a baby will remain this jaundiced.  
Normally with biliary atresia, the baby's stools are unusally pale, and 
you mention the stools are yellow. Have you seen the stools? Normally an 
experienced mother will notice the difference...
Breast milk jaundice (hypothetically something in mom's milk reduces 
bilirubin clearance in the baby) does occur, usually the bilirubin level 
remains elevated for months, but is not usually as high as 15 at 6 weeks 
postpartum. I had one little guy in my practice who had a level of 6-7 
for 6 months. Generally this occurs in siblings. Strange that this is 
baby #3, and none of the sibs have experienced this. That would raise 
the index of suspicion for me that there is something wrong with this 
baby, and he deserves a careful evaluation.
Larry (Lawrence) Gartner, MD is an expert on hyperbilirubinemia and a 
huge bf advocate. You can do a medline search with his name as a parameter.
Catherine Watson Genna, IBCLC  NYC

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