I posted earlier today on a baby with bili level 17 this a.m. admitted to hosp for double lites. B.wt 7#0, hosp discharge wt 6#7, today 6#15 so had gained 8 oz. No blood incompatibility, Coombs neg, no bruising. He was now feeding and pooping since we fixed engorgement. His 12 noon level came down to 14 and he was discharged home on phototherapy blanket for overnite. Surely this child did not need to be admitted. [I will concede that the lites did help the bili levels come down rapidly.] I see in L. Gartner, MD, Neonatal Jaundice, Pediatrics in Review, 15(11), 1994 the guidelines and I read some letters to editor in response stating that even this practice guideline was overly interventionist. Has anything been revised since then or is this article basically the standard most USA pedis would use? Anyone have anything even more authoritative that would save some of these babies too much intervention. Laurie Wheeler, RN, MN, IBCLC Violet Louisiana, s.e. USA ________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html