Dear Everyone:
  RAINBOWpeds mentions that the only cases of kernicterus in the past few
years were breastfed infants. Is breastfeeding being considered a cause of
kernicterus?
  The only case in the recent literature  that I have found was in Pediatrics
Vol 93 No. 6 June 1994 pp 1003-1006. He was born via normal vaginal delivery
and discharged on day 2 postpartum, healthy and breastfeeding.  Came back to
the ER on postpartum day 4 with a 1-day history of lethargy, jaundice
(bilirubin of 50), decreased appetite, and fever.  E. coli was cultured out of
his blood on the 4th day of hospital stay (postpartum day 8).
   I would be interested, in light of all the meta-analysis done by Newman and
Maisels, to know what cases is RAINBOWpeds referring?
   We all know that breastfeeding is not the cause of pathologic jaundice, but
rather it is a  LACK (shouting) of breastfeeding that creates problems, thanks
to deCarvalho and others. Warmly, Nikki Lee