Hey all--Thanks so much for the responses to my earlier post about my daughter's jaundice/lack of poop/pumping issues.
Well, we saw the pedi again today and got some mixed news. The good news is that she is gaining weight. She was up to 6lbs 14 oz today(12 days old) just 3 oz from birth weight and up 5 oz. from Tuesday. Since Thursday I have hardly given her any formula(maybe 1-2 oz per day), just the EBM I am able to pump(about 20-30 cc). I only supplemented at 4-5 feedings per day. She was having 2 poops/day and at least 10 soaking wet diapers/day(sometimes more).
Bad news is that her bilirubin has actually gone up(back to 16) since Tuesday. The pedi suspects that we have a true case of breastmilk jaundice. I had not even heard of this until a few days ago. He suspects it because both of the boys were jaundiced, slow to gain babies(both were slightly jaindiced until they were over 1 month old).
The pedi gave me a couple of options about how to proceed but I am not sure what to do.
Choice #1--stop BFing entirely for two days, only formula and see if her levels drop on Monday. I cried when he even mentioned this--not an option I am willing to consider
Choice #2--Every third-fourth feeding give her 2 oz of formula first(in a bottle) and pump after. See if her levels drop at all by Monday
Choice #3--Do nothing
I am thinking of doing a combo of his options--supplement with the formula more often but continue to use the SNS(not a bottle) and continue to nurse on demand in addition--whether it is before or after the formula--and not limit her time at the breast at all.
Any advice or insight? I have not found a whole lot of info about this issue, other than that it is not very common.