Check the academy of Breastfeeding medicine website.   Lots of great info

Sent from Cindy's iPhone



On Dec 7, 2011, at 10:44 AM, [log in to unmask] wrote:

> Lisa wrote:
> 
> 
> I am hoping someone can point me to a well-written AAP or  other medical 
> article about breastmilk jaundice.  I am a peer counselor  working with a mom 
> who was told to stop breastfeeding due to "breastmilk  jaundice".  This is a 
> new one for me, and I am doing some research to  better understand exactly 
> what that means.  I have come across  info  saying that jaundice is natural 
> and normal in breastfed infants and maybe even  beneficial.  I know the 
> pediatricians in our area have not heard that  LOL.  
> 
> 
> ********************************************************
> Generally speaking most pediatricians only stop breastfeeding for a  short 
> period of time as a diagnostic tool to determine that it really is  
> breastmilk jaundice and not pathologic jaundice (though if they look at the  timing 
> and the demeanor of the baby they wouldn't need to do that either).   Some 
> peds will stop breastfeeding for as long as 72 hours, though 12 hours will  
> give them what they need to know -- that is, the bili levels will drop and 
> then  rise again after the baby goes back on breastmilk.  It is innocuous, and 
> no  cases of kernicterus related to breastmilk jaundice have been reported. 
>  Usually levels do not go above 18 mg/dl.  
> 
> That's not an article, but I hope it helps.  If we HAVE to do  this, my 
> preferred mode is to have mom pump until "empty" (save the milk) and  then use 
> a supplementer at the breast with the formula for as many feeds as is  
> necessary.  Keeps the baby at the breast, and babe will still get a trickle  of 
> breastmilk....
> 
> Jan Barger, RN, MA, IBCLC, FILCA
> Wheaton IL
> _www.lactationeducation.com_ (http://www.lactationeducation.com/)   
> 
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