I have a chart in my office (cant' remeber the source, sorry) that gives estimated bili levels like: jaundice on eyes/face = 5 jaundice on extremities but not palms and soles = 12 to 15 (not sure of these numbers b/c I am at home). Since jaundice came up I was wondering if anyone uses this as an estimate? The reason I ask is I had a 3 day old baby come in with a young G1P1 mom this week for engorgement/refine latching. Baby was pee'ing 8x/24 hr and stooling 10x. Mom was letting down and dripping all over the place. Stools green-yellow and seedy. The baby was jaundiced on extremities but not palms and soles. The pedi had seen the child yesterday at hosp d/c and told mom to put by sunny window and no other interventions and return to pedi at 2 wks. Under these conditions, I faxed report to ped but did not have mom go in for blood work. Do you all agree? What would you have done? PS - today engorgement is much better, latching etc all ok. Laurie Wheeler, RN, MN, IBCLC Violet Louisiana, SE USA - suburb of New Orleans ______________________________________________________ Get Your Private, Free Email at http://www.hotmail.com