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Breastfeeding and jaundice... looking for some back up!

Last post 01-01-2006 8:33 AM by NumberThree. 10 replies.
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  • 12-29-2005 10:53 AM

    Breastfeeding and jaundice... looking for some back up!

    Here's our birth story... Andy arrived on Christmas Eve, and the story is a little long...

    http://community.pregnancyweekly.com/Forums/ShowPost.aspx?PageIndex=3&PostID=5798359#5798359 

    It's on page three, with a BFing pic. Wink

    My doctor wants my baby back in the hospital for some extra intense photo therapy for his jaundice.  He is 5 days old and due to some complications, was denied breastmilk for pretty much the first 2 days of life.  I'm thinking, duh... of course he's jaundiced!!!  You can't NOT feed a 5 pound baby and NOT expect him to get jaundice!

    So... this doctor ALWAYS says to stop BFing for jaundice.  I heard it over and over while I was teaching BFing for the WIC program.  He's said it to me before, but he knows I won't stop nursing.  LOL

    I'm heading in so Andy can have phototherapy on both sides (a top light and a bottom light), but I know I'll be fighting to avoid an IV and formula.

    What I'm looking for is this: documentation from non-breastfeeding sources (like not Le Leche) that he can't claim have an agenda when I make my case.  I won't be giving in, so it won't be too important... I just want all my ducks in a row.  I'm leaving with print outs from the AAP and the March of Dimes.

    Anybody else have some good documentation I can borrow?  

    Also... what would be consdiered a DANGEROUS level of bilirubin in a 5 day old?

    His 2 day was 11.8 (I did find documentation on hyperbilirubenemia (sp?) that said over 30 is dangerous on day 2)... his 3 day was 18.2... his 5 day (today) was 19.2.   Not what I would consider dangerous, but again... just looking for backup.

    Thanks, guys!!! Left HugRight Hug
  • 12-29-2005 11:09 AM In reply to

    Re: Breastfeeding and jaundice... looking for some back up!

    First off, congratulations! And Merry Christmas!
    Sorry I don't have any written documentation other then my hospital discharge notes and a list of handwritten istructions from the ped. (Pediatric Center of Twinsburg - University Hospitals of Cleveland, Marymount Hospital - Cleveland Clinic)
    Rebecca's dr and all the nurses at my hospital said to wake her and feed her every 2 hours, and to strip her down to her diaper and lay her in the sun.  So for the first few days, she took her naps naked on the couch by our front window on DH's chest.   Her bilirubin was at 12.2 when we left the hospital Wednesday, and Friday it was like 13.5.  I was told anything over 28 was dangerous.  The next Tuesday, they didn't take blood because they said she looked fine.  They told me that no matter what, don't stop breastfeeding her.  I listened and it apparently worked.
  • 12-29-2005 11:29 AM In reply to

    Re: Breastfeeding and jaundice... looking for some back up!

    I found this online:
    http://www.chsd.org/1245.cfm
    It is from Children's Hospital of San Diego, but it does mention La Leche League.

    Preventing jaundice is the best way of treating it.

    • Research shows that babies breastfed more often have less jaundice.

    Therapy for newborn jaundice. 

      • You can keep breastfeeding through phototherapy.
  • 12-29-2005 12:59 PM In reply to

    Re: Breastfeeding and jaundice... looking for some back up!

    Hi Krysten,

    First I wanted to congratulate you and tell you what an awesome job you do on the Jan '05 board with your wealth of breastfeeding knowledge.  I think you've inspired a lot of those women with the courage to nurse their babies!  Congrats on your new son!

    I don't know if this will help, but I'm cutting & pasting some stuff on jaundice I've shared in the past.  I don't think it's specifically what you asked for but it may help you fill in some missing pieces, if nothing else.

    Take care,

    Christine

    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

    Newborn Jaundice

     

    DID YOU KNOW - Jaundice Helps Breastfed Babies!

    (Excerpt from article by Dr. Jay Gordon)

    Contrary to what you often will hear about how bilirubin levels increasing in a newborn is not a good thing, there is new research which is showing the importance of the presence of bilirubin.

    Bilirubin has the ability to function as an antioxidant in the brain, scavenging free radicals and protecting the brain against oxidative damage.

    "When women breastfeed, the babies have higher levels of bilirubin and are healthier. Babies with higher bilirubin levels are more disease-resistant," said Dr. Sylvain Dore of Johns Hopkins School of Medicine, Baltimore, Maryland. "Bilirubin also protects against
    retinopathy in premature babies."

    Dr. Dore has done research on the neuroprotective effect of bilirubin in the hippocampus. His studies have indicated that low concentrations of bilirubin decreased oxygen-radical mediated injury, suggesting that bilirubin could act as an antioxidant.

    Dore further experimented on cultured neurons showing that bilirubin protects against oxidative stress. The enzyme hemeoxygenase is responsible for making bilirubin. In these experiments researchers prevented bilirubin synthesis by eliminating the gene for
    hemeoxygenase and found, as a result, twice the level of stroke damage in mice.

    There is also some belief amongst medical professionals that bilirubin is a bacteriostatic compound which acts to slow or eliminate bacterial growth and therefore give an advantage to babies with higher levels of jaundice. This theory would contribute to the
    fewer infections in breastfed babies, whose bili counts often descend at a slower rate.


    ~~~~


    Similar Article by Dr. Alan Greene

    And I really liked this paragraph from this article:

     

    "The notion that there is something wrong with the baby being jaundiced comes from the assumption that the formula feeding baby is the standard by which we should determine how the breastfed baby should be. This manner of thinking, almost universal amongst health professionals, truly turns logic upside down. Thus, the formula feeding baby is rarely jaundiced after the first week of life, and when he is, there is usually something wrong. Therefore, the baby with breast milk jaundice is a concern and "something must be done".  However, in our experience, most exclusively breastfed babies who are perfectly healthy and gaining weight well are still jaundiced at 5-6 weeks of life and even later. The question, in fact, should be whether it is normal not to be jaundiced and is this absence of jaundice something we should worry about? Do not stop breastfeeding for "breast milk" jaundice."

    Would you like to read more about how a managed fever is GOOD for your child? 
    Click Here

    Amazing, huh? Everything really is by design…

     

    Please note that not ALL forms of jaundice should be considered "healthy". Jaundiced infants still need to be monitored by a health care professional, who hopefully is aware of this newer information and can differentiate between a healthy and unhealthy jaundiced condition.

  • 12-29-2005 1:53 PM In reply to

    Re: Breastfeeding and jaundice... looking for some back up!

    I hope you have all the info you need to help prove your case (but I know you won't be giving in though) but I just wanted to say that until I read on here that drs were telling them to give formula for jaundice babies I had NEVER heard that. ALL of my kids were jaundice and I've always heard NURSE NURSE NURSE....the more the better.  I've always been told that frequent nursing helps work it out.

    You've already put up with enough crap from them.  Good luck on this.
  • 12-31-2005 8:13 AM In reply to

    Re: Breastfeeding and jaundice... looking for some back up!

    Thanks for your help!!!

    Here's what happened...

    We got to the hospital, and I refused the IV and sugar water feedings.   I did agree to add a little water to the end of breastfeeding for one day, but only by cup.  He nursed at LEAST every 2 hours.  In a whole day, he got 2 oz of water.  LOL

    His number was up to 19 on Thursday morning.  It was down to 15 yesterday morning, and the doc came to visit and looked at him with puzzlement... "He doesn't look that jaundiced."  I nodded and tried not to pick a fight.  LOL

    So...he was down to 12.8 last night, so they let us come home.  We went to go see my grandparents on the way home, and got Grampa Howard's permission and blessing to name him Andrew Howard.  Yayyy!!!Smile 

    He'll still be on the blanket all weekend, and we'll test him again Tuesday morning, with a follow up appt on Thursday or Friday. 

    And for the record... this "dangerously little guy who were not sure is getting enough to eat" has already gained FOUR OUNCES over his birth weight!!!  I figure that's pretty good for a 5 pound baby that was fighting jaundice and breastfed.  Woo Hoo!!!!  Wink

  • 12-31-2005 1:36 PM In reply to

    Re: Breastfeeding and jaundice... looking for some back up!

    I don't know if you got this all figured out already, cause I didn't read the posts. I don't have time to read them before I gotta get going, but I just wanted to say that your doc (IMPO) is wrong! I was told to only breastfeed when my daughter was jaundiced. IT helps to clear out the bilirubin faster because bilirubin is passed through excrement and bm helps have more bowel movements there for getting out the bilirubin presumably faster than with formula.  

    Also when we were discharged from the hospital Alayna's bilirubin was at 15.1. They wanted me to see her Doc right away on Monday (we were discharged on a Friday). We went in on Monday and her Bilirubin was 20.0. They ordered her an in home bil-blanket, and her bilirubin went down. If you would like to check out the rest of the story it is on her webpage at
    www.babiesonline.com/babies/t/tkasat   
  • 12-31-2005 2:43 PM In reply to

    Re: Breastfeeding and jaundice... looking for some back up!

     Mommy2Alayna12/15/04 wrote:
    I don't know if you got this all figured out already, cause I didn't read the posts. I don't have time to read them before I gotta get going, but I just wanted to say that your doc (IMPO) is wrong! I was told to only breastfeed when my daughter was jaundiced. IT helps to clear out the bilirubin faster because bilirubin is passed through excrement and bm helps have more bowel movements there for getting out the bilirubin presumably faster than with formula.  

    Also when we were discharged from the hospital Alayna's bilirubin was at 15.1. They wanted me to see her Doc right away on Monday (we were discharged on a Friday). We went in on Monday and her Bilirubin was 20.0. They ordered her an in home bil-blanket, and her bilirubin went down. If you would like to check out the rest of the story it is on her webpage at
    www.babiesonline.com/babies/t/tkasat   


    That's what I had always been told too (and it always worked with my kids).  I had NEVER heard of a dr saying to give formula for it until I read it on here a few months ago for the first time.  I think that is WAAAAY wrong advice and I don't have a clue where dr's get this idea from.

    Krysten I'm glad he's doing better and POO POO on that dr.
  • 12-31-2005 4:54 PM In reply to

    Re: Breastfeeding and jaundice... looking for some back up!

    I had severe jaundice when I was born...my mom nursed me throughout the entire process.  She was very stern about not supplementing with formula.

    Brayden was moderately jaundiced his first week of life.  They wanted me to give him formula in addition to the breastmilk, but I refused.  It was hard...I fed him for 15 per breast every hour for 4 days....but we managed to flush out that jaundice without the need for phototherapy.
  • 12-31-2005 5:05 PM In reply to

    • KristieQ
    • Not Ranked
    • Joined on 03-06-2005
    • Brunswick, Ga.
    • Posts 40

    Re: Breastfeeding and jaundice... looking for some back up!

     Krysten_ with_seven wrote:
    Here's our birth story... Andy arrived on Christmas Eve, and the story is a little long...

    http://community.pregnancyweekly.com/Forums/ShowPost.aspx?PageIndex=3&PostID=5798359#5798359 

    It's on page three, with a BFing pic. Wink

    My doctor wants my baby back in the hospital for some extra intense photo therapy for his jaundice.  He is 5 days old and due to some complications, was denied breastmilk for pretty much the first 2 days of life.  I'm thinking, duh... of course he's jaundiced!!!  You can't NOT feed a 5 pound baby and NOT expect him to get jaundice!

    So... this doctor ALWAYS says to stop BFing for jaundice.  I heard it over and over while I was teaching BFing for the WIC program.  He's said it to me before, but he knows I won't stop nursing.  LOL




    Congratulations!!! My baby was jaundiced too. The ped told me that it is very common in bf babies but it wasn't at a dangerous level. He told me to put him in sunlight. It cleared up after a couple of weeks. When we went to his two week check-up the ped said his color looked fine.
    I'm heading in so Andy can have phototherapy on both sides (a top light and a bottom light), but I know I'll be fighting to avoid an IV and formula.

    What I'm looking for is this: documentation from non-breastfeeding sources (like not Le Leche) that he can't claim have an agenda when I make my case.  I won't be giving in, so it won't be too important... I just want all my ducks in a row.  I'm leaving with print outs from the AAP and the March of Dimes.

    Anybody else have some good documentation I can borrow?  

    Also... what would be consdiered a DANGEROUS level of bilirubin in a 5 day old?

    His 2 day was 11.8 (I did find documentation on hyperbilirubenemia (sp?) that said over 30 is dangerous on day 2)... his 3 day was 18.2... his 5 day (today) was 19.2.   Not what I would consider dangerous, but again... just looking for backup.

    Thanks, guys!!! Left HugRight Hug
  • 01-01-2006 8:33 AM In reply to

    • NumberThree
    • Not Ranked
    • Joined on 02-20-2005
    • Sammamish, WA
    • Posts 10

    Re: Breastfeeding and jaundice... looking for some back up!

    Hi there - I was just lurking around and wanted to throw in what my pedi told me (whose pro-breastfeeding). My baby was jaundice when he was born and the numbers kept going up. They tested his blood and my blood and we had incompatible blood types and his body was building up antibodies and because of this the levels were continuing to rise. She said that in this particular case only they recommend formula feeding for a day or two and then the numbers would start to come down. She did say that they didn't know why that happens but that it always worked.

    He continued to go in for heel pricks every day and they just watched the numbers until they finally broke and started the downhill climb. So I never did need to do the formula.
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