Mama to 2 sweet little boys (May 2010) (Feb 2012)
Got myFeb 2012
If they don't have that, then being with him while he is under the lights and nursing every 1-2 hours will help.
Also what may help is to pump or hand express after day time feeds to help your milk to come in faster.
Hang in there, Mama!
Some info that may help: Jaundice: http://www.nbci.ca/index.php?option=...tion&Itemid=17
All three of my kids had some jaundice, but we never had any tests done to determine amounts. It cleared up by a week. Put baby in the sunlight, if you have a window, it also helps clear the jaundice. And maybe ask for YOUR OWN ped to evaluate the baby? Especially if you have a breastfeeding friendly ped...
Jenna ~ mommy to Sophia Elise (1/06), Oliver Matthew (7/07) and Avery Michael (3/10)
Wading slowly and nervously into this homeschooling thing.
You're not in the dangerous levels, or even close, I don't think. Though I had trouble finding a good resource on what levels were okay and what were bad.
If they keep really pushing formula, maybe you could come to a longer term agreement. If his levels don't get above ___ number, and your milk comes in by ___ day, they'll agree to lay off the formula talk, or something like that.
My milk didn't come in until Monday morning, and she was born on Thursday afternoon.
Pet-mom to Squirt with FLUTD & Maya the deaf wonder dog .
Going to some articles in Pediatrics, 10mg at >48hrs of age doesn't even warrant treating with phototherapy (bililights or sunlight even.) In other words, IMO this ped is being way off base by threatening formula. I'd definitely consult with your personal ped.
I'm sure you're not up for reading technical(ish) articles, but here's one I found: http://pediatrics.aappublications.or...e2=tf_ipsecsha
Sorry for the long link. That's the abstract from where you can download the full article. Page 4 specifies levels and treatment protocols broken down by age of baby.
"Phototherapy may be considered for the 49- to
72-hour-old jaundiced infant when the TSB level
is 15 mg/dL (260 pmol/L). Phototherapy is recommended
when the TSB level reaches 18 mg/dL
(310 pmol/L). If intensive phototherapy fails to
lower the TSB level when it reaches or is predicted
to reach 25 mg/dL (430 pmol/L), an exchange
transfusion is recommended. If the TSB level is
30 mg/dL (510 pmol/L) when the infant is first
seen, intensive phototherapy is recommended
while preparations are made for exchange transfusion.
If intensive phototherapy fails to lower the
TSB level, an exchange transfusion is recommended.
4. For the infant >72 hours old, phototherapy may be
considered if the TSB level reaches 17 mg/dL (290
pmol/L). Phototherapy needs to be implemented
at a TSB level of 20 mg/dL (340 pmol/L). If
intensive phototherapy fails to lower a TSB level
of 25 mg/dL (430 pmol/L), exchange transfusion
is recommended. If the TSB level is 30
mg/dL (510 pmol/L) when the infant is first seen,
intensive phototherapy is recommended while
preparations are made for an exchange transfusion."
My DD was 13.2 at 47hrs old and they freaked out the website concluded she was boarderline and really only needed phototherapy IF she had other risk factors (prematuraty etc) she didnt. Nevertheless, they pushed formula and I declined. I used a hospital grade pump to pump colostrum - you only need a VERY small amount, remember that a newborns tummy is super small. I finger fed her the colostrum with an SNS. Be forceful, if you dont want to give formula you dont have to. There are MANY other options.
Mama to 2 sweet little boys (May 2010) (Feb 2012)
Got myFeb 2012
So glad that things are going better and his 10.5 is great! Just a note, it can take a while for the yellow to really clear. My baby's highest number was 14 but he still had yellow eyes at day 7 and the jaundice coloring wasn't completely gone until about day 12. We did have a home nurse at day 8 and that helped as she checked the jaundice. The further down the body, the worse it is. If it's confined to the face it's not so bad but if it progresses to the chest then take him in.
Hope things go much better at home!
it's funny how doctors in America are over jaundice, I think. Both my kids had jaundice for about the first 2-3 weeks of life, and it was all down the body to the chest that I remember, they didn't even check levels, no mention of formula or lights. Once I got home I put them in a moses basket next to the window when they weren't nursing. They're both beautiful healthy boys and the jaundice didn't hurt them at all.
Next time the doc comes to push formula (geez, I mean, are the formula companies paying him or WHAT?) ask a hundred questions to get him to back off- so what is the point of formula if shes getting lots of breastmilk, how is formula better, what is the dangerous level (above 14 I've read) compared to where she is now? Chances are the more education that you show, the less pushy he'll be with the formula.
Momma to DD (12/04) and DS (11/09) .
I survived 16 mos! Ask me about breastfeeding a baby with posterior tongue tie, high palate, and weak oral motor skills- whew!
We did supplement for 2 or 3 days maybe 4 she got a total of 5 tiny formula bottles over that time. Her jaundice improved...
Now how to avoid a bottle and yes there are other ways, I have heard of spoon feeding and tubes...the tube can be placed on your finger or inside a nipple shield then against your breast so when the babe latches on and feeds they get some formula. A lactation consultant should be able to help with this...our had the stuff to do this, unfortunatley I met her after the formula was given.
ETA: Lights and blankets shouldn't be used until numbers are approaching 20! Otherwise it will dehyrate the babe and make the jaundice worse. That is per the hospital that I gave birth in and my midwife. 15 minutes outside in the sun exposed to the rays a day (not between 11 and 1, sun is too strong then)
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