Breast Feeding Moms.... - Mothering Forums
May 2007 > Breast Feeding Moms....
NaturalMommaof3+1's Avatar NaturalMommaof3+1 05:13 PM 06-08-2007
Does anyone still come in here? If not, where are you all hanging out? I want to ask a question, but I'm noy sure if anyone is still here, so I'll post it and see I guess.

Kaila-Rose got jaundice at a about a week old and now at 5 weeks she still has it. So my doctor sent me to a ped. because her weight gain has been slow. We were sent for blood work, and her tests came back that her levels were doubled what they should be. The ped. wasn't too concerned, he said he sees infections much worse and this was a small amount. He mentioned that the prolonged jaundice might be from my breast milk, this is common, something in the milk causes jaundice. So he suggested to stop breast feeding for 4 or 5 days and pump my milk and give her formula in those days. I am hesitating doing this. I'm afraid I will loose my milk, I've already been concerned with my supply. And what about nipple confusion? Will she take me again after 5 days of not nursing?? I am really hesitating with this. She is only mildly jaudiced as of yesterday at her appointment. But her weight gain is slow, she is only 7 pound 5 ounces. The ped. didn't seem concerned with this, he said she will probably always be in the 5th to 10 percentile because hubby and I are small.

Any advise? I could really use some input!


FuzzyOne's Avatar FuzzyOne 05:19 PM 06-08-2007
i don't have a lot of advice for you, but i would also be very hesitant to stop nursing for that long. both ds and dd had jaundice, but not at that age. i know it is fairly common for breastfed babies to have jaundice. i would recommend that you go to www.kellymom.com and post your question to the forum and also just do a search through the website. it is an awesome source for breastfeeding information and support. they will get you an answer quickly.
NaturalMommaof3+1's Avatar NaturalMommaof3+1 05:26 PM 06-08-2007
Thank you so much!
kdtmom2be's Avatar kdtmom2be 05:33 PM 06-08-2007
We're all over in the Life with a Babe forum, there is a May 2007 thread started (and getting quite long even!) with lots of questions, info and just general sharing of stories, vents and info. Come on over!!

(there are also a few of us frequenting the brestfeeding forum)
kdtmom2be's Avatar kdtmom2be 05:35 PM 06-08-2007
Whoa, I just read the rest of your post. DO NOT stop breastfeeding!! Call your local (or as local as you can get) LLL member or PM me and I'll tell you what I know. Baby is screaming for lunch right now. Go post this in the breastfeeding forum for a more immediate response.
NaturalMommaof3+1's Avatar NaturalMommaof3+1 05:41 PM 06-08-2007
Thanks for letting me know where everyone is!! I'll head over there.
NaturalMommaof3+1's Avatar NaturalMommaof3+1 05:42 PM 06-08-2007
And thank you for the advise about continuing breast feeding. It just wasn't feeling right to stop.
JanB's Avatar JanB 05:45 PM 06-08-2007
I did a Google search for you and found this article from Dr. Jack Newman:

http://www.bflrc.com/newman/handouts...7-Jaundice.htm

Quote:
Breastmilk jaundice is normal. Rarely, if ever, does breastfeeding need to be discontinued even for a short time. Only very occasionally is any treatment, such as phototherapy, necessary. There is not one bit of evidence that this jaundice causes any problem at all for the baby. Breastfeeding should not be discontinued "in order to make a diagnosis". If the baby is truly doing well on breast only, there is no reason, none, to stop breastfeeding or supplement with a lactation aid, for that matter. 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 so called breastmilk 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 five to six weeks of life and even later. The question, in fact, should be whether or not it is normal not to be jaundiced and is this absence of jaundice something we should worry about? Do not stop breastfeeding for “breastmilk” jaundice.

kdtmom2be's Avatar kdtmom2be 05:51 PM 06-08-2007
Thanks Jan, that's the info I wanted to get to her
NaturalMommaof3+1's Avatar NaturalMommaof3+1 05:53 PM 06-08-2007
Awesome! Thank you!! I needed to read what I have been feeling. My gut was saying not to give up breast feeding, even though her weight gain is slower. Hopefully it will pick up soon.
ewins24's Avatar ewins24 07:33 PM 06-08-2007
Gotta run now but will be back w/ more info for you but wanted to say

Please DO NOT stop breastfeeding your baby!

I'll be back w/ info to back that up later.

(((((((((((((((((HUGS))))))))))))))))
koru's Avatar koru 09:05 PM 06-08-2007
this may be common sense, but is Kaila-Rose getting some sunlight during the day? even from a window? just make sure the sun is hitting the skin so strip her down to her diaper & sit her in the sun for 5-10 minutes.
Synchro246's Avatar Synchro246 09:10 PM 06-08-2007
Quote:
Originally Posted by kdtmom2be View Post
Whoa, I just read the rest of your post. DO NOT stop breastfeeding!! Call your local (or as local as you can get) LLL member or PM me and I'll tell you what I know. Baby is screaming for lunch right now. Go post this in the breastfeeding forum for a more immediate response.
:
kittn's Avatar kittn 11:01 PM 06-08-2007
dont stop nursing. a lot of doctors will tell you this and refer to it as breast milk jaundice. its mostly bubkis (is that a word?) sometimes it may take a little longer for the jaundice to clear but stopping nursing isnt a good idea.
kdtmom2be's Avatar kdtmom2be 11:42 PM 06-08-2007
I second the sunlight recommendation, it will help to get rid of the bilirubin. Is she pooping lots?

Are you even getting any sun these days? Hope you aren't anywhere that is flooding!
InPhoenix's Avatar InPhoenix 02:40 AM 06-09-2007
Why would your ped tell you this??

My DS was jaundiced, as well, and I was told that breastfeeding was the best thing for him. The emphasis, however, was on hydration to help flush out the jaundice.

We supplemented with formula because DS was severely dehydrated, but both my pediatrician and the nurses at the hospital repeatedly stressed that breastmilk was the best thing he could get.

This was at the recommendation of the pediatrician and nurses: again, their emphasis was that yes, DS really needed to be hydrated (hence, the supplementation) but that breastmilk was the very best way to do this. Their goal was to accomplish it with breastfeeding and then use formula only if needed after breastfeeding was attempted.

Can you get a second opinion from another doctor?? Also, if the jaundice is truly that severe, why weren't bili lights suggested?? It makes no sense at all to pump and dump for jaundice.
ewins24's Avatar ewins24 02:48 AM 06-09-2007
I PM'd you...
NaturalMommaof3+1's Avatar NaturalMommaof3+1 07:52 PM 06-09-2007
Thank you! :0)

Yes, she is pooping lots, about every other diaper. And we were getting sun on her until this week when it started raining continually...yes flooding is getting close insome areas. But the last couple days I have seen a change in her eyes, they are now grey and not all yellow, just a bit of yellow. Hopefully they will continue clearing. I am concerned about her weight gain, she has only gained 4 ounces in 9 days, even though she eats every 1 1/2-3 hours. I hope that she puts more on soon. she is only 7pds 5 ounces and she was born 6 pounds 14 ounces.

Thank you for all the advise so far. I am going to follow my gut and continue bf. It just didn't feel right to stop, you know? As soon as he said it, even though I nodded and said ok, I felt "no!" Lol!

Thanks again!

kdtmom2be's Avatar kdtmom2be 02:33 AM 06-10-2007
The important thing is that she IS gaining weight and the yellow tint is fading.
How fast is not nearly as important. Some babies gain faster than others, you know that by now! Sun is on the way for Tues, hang in there!
rachellanigh's Avatar rachellanigh 02:31 AM 06-16-2007
I also wanted to comment not to worry about the weight unless something seems to be wrong with the baby...besides jaundice. Your instinct will usually tell you if something is not right with baby. )
rachellanigh's Avatar rachellanigh 02:32 AM 06-16-2007
Sorry..not sure where that OOPs icon came from...wierd!
NaturalMommaof3+1's Avatar NaturalMommaof3+1 08:47 PM 06-19-2007
We are going this week for more blood work. Her jaundice is better, her skin is almost pink now, but her eyes are still tinted yellow. They want to make sure her kidneys are functioning properly. She is also very slow at gaining weight. She is very long, but dainty. I'm not sure if my supply is enough even though I'm drinking mothers tea and rr leaf tea. She seems to drink well for the first bit and then do a lot of sucking. I squeezed my nipples and nothing really came out. I haven't given her formula yet, but I'm getting very close...I want her to fill out. I'm trying to give breasting all I have, I'm trying so hard to hang in there.

Here are a couple pics....Kaila-Rose 7 weeks

http://i34.photobucket.com/albums/d1...e192007005.jpg

http://i34.photobucket.com/albums/d1...e192007004.jpg

http://i34.photobucket.com/albums/d1...e192007003.jpg
rosie_plus_one's Avatar rosie_plus_one 06:16 PM 06-20-2007
You might want to try to nurse her more often - try to offer it before it goes 3 hours. My son was mildly jaundiced and the nurse explained that it makes them sleepy, so they don't nurse as much, so they don't get the bilirubin out, so the jaundice gets worse, so they get more sleepy.... and so on.
crysmomofthree's Avatar crysmomofthree 01:04 PM 06-21-2007
Quote:
Originally Posted by NaturalMommaof3+1 View Post
We are going this week for more blood work. Her jaundice is better, her skin is almost pink now, but her eyes are still tinted yellow. They want to make sure her kidneys are functioning properly. She is also very slow at gaining weight. She is very long, but dainty. I'm not sure if my supply is enough even though I'm drinking mothers tea and rr leaf tea. She seems to drink well for the first bit and then do a lot of sucking. I squeezed my nipples and nothing really came out. I haven't given her formula yet, but I'm getting very close...I want her to fill out. I'm trying to give breasting all I have, I'm trying so hard to hang in there.

Here are a couple pics....Kaila-Rose 7 weeks

http://i34.photobucket.com/albums/d1...e192007005.jpg

http://i34.photobucket.com/albums/d1...e192007004.jpg

http://i34.photobucket.com/albums/d1...e192007003.jpg
She is beautiful! and I think she looks great, not to small and not yellow at all
laney28's Avatar laney28 03:39 AM 06-22-2007
I think if you're serious about bf you should change peds! If you don't mind me saying, he's giving you pretty bad advice there. You should definitely NOT stop bf. No matter what the circumstances, your milk is always better for your baby than any man-made formula. And esp. with jaundice breast milk will help clear your baby's system of the bilirubin.

Also as a pp said, take your baby outside for at least a few minutes every day (or sit her by a sunny window). The sunlight should help clear up the jaundice.
NaturalMommaof3+1's Avatar NaturalMommaof3+1 04:59 AM 06-22-2007
THank you all!
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