I just had my 4th baby and we had a positive Coombs test. The bilirubin was higher than they would like to see so when we went home they sent us with a blanket and had a nurse stop by every day. The bili level went up slowly, a point a day for 3 days. It got up to 15. At the same time his hemoglobin dropped. They explained his blood cells were attacking themselves because of the ABO. They readmitted us to the hospital and we stayed there for 3 days on a double bank. There is continued suggestion that he is not getting enough milk. I suspect that was part of our admission reason. Now the nurse was out every day and he gained every day he was home. In the hospital, they weighed every diaper, watched my latch, put him on an IV and had me pump so they could check output. His levels only dropped to 11 but they released us with a blanket and a nurse. In 3 days his level has climbed a point, he is at a 12. He is still gaining weight. Now he is 10 days old and the dr called us in. She wanted me to quit nursing because she thinks it is "output" related. I told her I refused to quit nursing. She said I must start expressing so I can measure because she has to rule out output and she is almost sure that is what it is.
I am on my 42nd month of BF. I had just weaned a few months before because of contractions and when I delivered, my milk was in. I even showed the LC and expressed right after delivery. I was pumping excess after 3 days because I have always produced a lot of milk. When he was on IV's I pumped 6-8 ounces at a time and filled the freezer at the hospital. I know it is not output, he has tons of wets and 5-6 poops a day. My drs next plan is to check for food allergies and have me eliminate foods. She said allergies can cause jaundice, I had not heard that. After that she says the next possible cause is he is not able to digest breastmilk, she said that was breastmilk jaundice. They will not check hemoglobin anymore or anything else. Has anyone else had these issues? Won;t this pass on it's own? Can a baby be unable to digest breastmilk? When I told her that we have had allergy issues before and done the elimination before, that baby had gas, spit up, had digestive issues and didn't have jaundice, she said that allergies could bring on jaundice but have no other signs.