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Discussion Starter · #1 ·
My SIL gave birth on Monday. Nursing seems to be going well, but they went to the hospital today for a "mom & baby" check, and he's lost 10% of his birthweight, and has a billirubin level of 17. The dr (of course) recommended formula, but they are determined not to give it to the baby. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumbsup.gif" style="border:0px solid;" title="thumbsup"><br>
They say that the babe will only nurse 10-15 minutes, and then falls asleep. They cannot seem to wake him to nurse more than this.<br>
They have another test tomorrow, and the dr said that if he is 20+ they will admit him.<br>
I know that some of this is normal (my 2 did it, too), but they really need some ideas.<br>
Any suggestions?
 

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Is the weather nice enough that she can spend lots of time outside? Sun helps a lot to get bilirubin levels down.<br><br>
How long is he falling asleep for after his 10-15 minutes of nursing? If it's hours and hours, ok, that's worrisome. If it's 20 minutes, and then he wakes up and nurses a little more, that seems like he'd be getting lots of milk/colostrum. Is he producing lots of wet diapers? Has all the meconium passed already?<br><br>
As far as I know, babies aren't expected to recover birthweight until two weeks post-partum, maybe longer if Mom got pumped full of fluids in the course of giving birth (thus pumping baby full of fluids and inflating birth weight).
 

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Is she nursing in indirect sunlight? DS 2 had a high billi so that's what we were told. Also I'd nurse both kids bare skin to skin and tickle their feet to help wake them. Good luck to her!
 

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Sunlight & breastmilk are the best treatment for jaundice. Nursing 10 to 15 minutes and then falling asleep is 100% normal at this age. Just have her wake him up & nurse him every two hours if he doesn't wake up to nurse more often. If she can't go outside, sit by a window with the shade up.
 

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Get baby in the SUN!!! Phototherapy is what they will do for baby anyway. She shouldn't supplement with formula, that is ridiculous. Even La Leche League experts will tell you that. If baby is not nursing alot but falling asleep they should undress baby, tickles his/her feet or do something stimulating to keep baby awake. SUN, SUN, SUN. Take off all clothes, sit by window with sun coming in for 15 minute stints (unless it is intense light), do this multiple times a day. Green poo is a sign that the bilirubin is being eliminated from the system. If that doesn't work then take baby in. Otherwise you face alot of interventions and a sick, contaminated environment unneccessarily. My son had the same issue and it cleared up on its own with sun and lots of breastfeeding. SUN, SUN, SUN.
 

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Discussion Starter · #6 ·
The weather here is 82 and sunny, so that's actually perfect. They are outside right now, nursing.<br>
As far as the poop- the meconium was gone as of yesterday, and his poops were yellow. They are not worried too much about the weight loss- her milk really just came in really good yesterday, so they're hoping that he'll start gaining again soon.<br>
Their main worry is getting him to feed more often. He nurses for 10-15 minutes and then falls asleep and no amount of tickling, moving (or even changing his diaper) will get him roused enough to nurse again. He sleeps for 3 hours when this happens.
 

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<div>Originally Posted by <strong>blsilva</strong> <a href="/community/forum/post/8161038"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">The weather here is 82 and sunny, so that's actually perfect. They are outside right now, nursing.<br>
As far as the poop- the meconium was gone as of yesterday, and his poops were yellow. They are not worried too much about the weight loss- her milk really just came in really good yesterday, so they're hoping that he'll start gaining again soon.<br>
Their main worry is getting him to feed more often. He nurses for 10-15 minutes and then falls asleep and no amount of tickling, moving (or even changing his diaper) will get him roused enough to nurse again. He sleeps for 3 hours when this happens.</div>
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Mine did that very same thing. Reassure them that this is normal. Also, the yellow should fade from the bottom of the body up, I believe. So, his torso and chest may lose the color before his head. When my son was kept in light and was bfing alot he began the green poops and my midwife said this was the billirubin elimination, so you can watch for that too as another reassurance that his body is doing the right things. Just keep in touch with someone who can tell you if everything is medically alright.
 

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I used to have to wake my daughter up by putting a finger on either side of her spine near her butt and then pushing in gently and running them up and down her spine! Worked though--she would arch her back and then start sucking again...good luck!
 

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Discussion Starter · #9 ·
Just wanted to thank everybody for the advice- they saw the dr today, and his billirubin level was down to 15 and he gained 2.5 oz's, so they don't have to see anyone again for a couple weeks, and all is well. <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/carrot.gif" style="border:0px solid;" title="carrot">
 

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Yay! It's so reassuring to hear when mothers and babies manage just fine without any medical intervention. I never understood why people (doctors especially) make such a big deal out of jaundice when it is so normal.
 
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