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Thread: AAAaaahhh Jaundice!

  1. #1
    Join Date
    Jan 2011
    Location
    San Diego
    Posts
    259

    Default AAAaaahhh Jaundice!

    Hi ladies,
    My DS was born on Tuesday morning. He had six BMs that day, four of them large, and didn't have another poop until today. Pediatrician said he was at risk for jaundice, and now the whites of his eyes are yellowish. SOOoo.... I don't want to supplement with formula, I need help. I did rent a hospital grade pump, but my milk hasn't come in yet. Any advice????

    He is nursing like a champ, despite the few poops... I think he's had so few because he had so many on Tuesday. He had 7 wet diapers yesterday and is at 4 for the day already today... but I'm worried that the doc is going to tell me to supplement and I don't have any experience with jaundice.... You ladies rock, that's why I always turn to you.

    Please advise.

    Thank you!

    * I should mention, too, that he nurses at least 12 times each day. He hasn't gone more than 3 hours, without eating...
    Last edited by @llli*alilwest; August 16th, 2012 at 04:16 PM.

  2. #2
    Join Date
    Jun 2009
    Posts
    5,744

    Default Re: AAAaaahhh Jaundice!

    So baby is what-2-3 days old? So milk not being 'in' and even scant poops are normal at this stage.

    in first few days many moms find hand expression works better than pumping. Don't expect to get much, colustrum is typically quite scant. but any drops you do get can be fed to baby with a syrynge or spoon.

    Normal newborn jaundice typically peaks at about day 4 and then starts going down. of course pooping is important but maybe, should your babies bilirubins be found to be too high, your doctor would be ok with light therapy rather than formula since it sounds as if breastfeeding is going well.

    nurse even more often if you can/baby will. My now 17 day old daughter born via c-section was also ruled 'at risk' for jaundice the second day. they also were freaking out about her initial weight loss. I knew she was nursing great and I had confirmed I had colustrum by hand expressing, (just a few drops-it is very scant at first!) so we nursed every hour about and in a few days i had more than enough milk, and all talk of jaundice risk and weight loss concern was over.

    hand expression- http://www.llli.org/docs/00000000000...expression.pdf

    Dr. jack newman on jaundice breastfeeding http://www.nbci.ca/index.php?option=...tion&Itemid=17

    academy of breastfeeding medicine protocol for newborn jaundice http://www.bfmed.org/Media/Files/Pro...20Jaundice.pdf

    diaper log http://www.llli.org/docs/00000000000...diaper_log.pdf
    Last edited by @llli*lllmeg; August 16th, 2012 at 04:49 PM.

  3. #3
    Join Date
    Nov 2009
    Posts
    652

    Default Re: AAAaaahhh Jaundice!

    Both of my babies have had jaundice severe enough to need at home bili lights. With my son I was basically clueless and nursed when he cried, he was under lights for 72 hours. With my dd I nursed her every hour during the day and every 2 at night. She was under bili lights 20 hours. Neither of them had any formula. I would just say up the nursing sessions. My dd also pooped like crazy so she didn't seem to be at risk, but it is likely genetic for us and the ped said to plan on all future children having jaundice.

    Nurse as much as you can, and if he does need the at home lights, they aren't too bad.
    Ds 9/09 nursed for 20 months

    Dd 12/11 nursing a toddler again

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