bilirubin levels of 21 in a 3 day old, doctor wants formula. Final update, breastmilk jaundice.
So through the week, here levels rose, then fell, then fell a bit more, but were still hanging in the teens, She is acting 100% normal for an infant, right amount of poop. pee, and awake time.. so they also ordered a breastmilk jaundice test, and that is what it is. They said its harmless since her numbers are stable in the teens and that she will just be a bit yellow for a while, but should clear up at around 6 weeks. To keep nursing on demand, to get her some good sunlight, but that the bili light and daily bili tests are no longer needed. Whoot whoot... I am happy. When they said they wanted to test for breastmilk jaundice I was afraid that they were going to say stop breastfeeding and switch to formula, but thats not what happened, theys said that breastmilk jaundice is harmless in a healthy infant and that it just takes time to go away, and that formula would process it out faster, but its not necessary!
Update March 21
So they let us go home on Monday, here levels were at 16. We go back in for another test today to make sure they are still dropping. But she is doing good, I'm just soooo ready for her to be disconnected from that bulky machine!!
Now my question, she spits up a little here and there, totally normal.. except.. its bright yellow. Now, none of my kids did that, they were all breast fed as well, and when they spit up it was alwayswhite.. so I'm not sure why she would be spitting up yellow... any suggestions? Oh, and its not usually right after eating, its in between feedings. And its liquid, and really doesn't look like there is any breast milk in it.
Update, so we nursed and nursed and I kept her on the biliblanket, and her levels still went up, so we are in the nicu, but they are all good with me nursing her here, she is on the bili bed right now. Even with her nursing as much as she wants, I'm still engorged to the point that I'm in pain. I pumped off some and they gave it to her in a bottle, but lest then ten min later I was rock hard again... I've dealt with overactive let down before, and it seems like its the issue again.
Our baby girl (our 6th child) had a level of 9.9 when we left the hospital on Thursday afternoon, this morning it had risen to 21.
So here are some stats on her
born 3-13-13, 7lbs .03 oz ( today's weight 6lbs 12oz) 18 inches long (this is questionable as she measured 20 inches at the peds this morning... yeah, dont' think she grew 2 inches in 3 days)
Has a great latch, and is nursing frequently (less then every two hours, approx 15-45 min each time)
Wed, 1 poopy, 2 wet diapers
Thursday 4 poopy, 5 wet
Friday 6 poopy (last 3 transitioned to green), 8 wet
Saturday, so far 2 poopy (both yellow seedy), 4 wet.
My milk came in late last night. I pumped this afternoon when i got back from the doc to see my output, and it looks great, and I pumped 2oz off of each side (could have pumped more, but don't want to mess up my supply too much).
Doctor almost sent her to the hospital for readmission, I was able to avoid that and was sent home witha bili blanket and orders to stop breastfeeding for 24 hours and supplement withformula. I did not say yes or no to this treatment. Now we put her on the blanket the second we got home, I am willing to pump and measure how much she is eating, but want to avoid formula. if her levels do not drop by tomorrow they will want to admit her, which will cause a much more stressful situation for both me and baby. What other measures can we take to ensure her levles are dropping. I did grab some vit d infant drops at the store, but have not given any as I am still trying to find information on if this would even help.
I should also add that she is normal in every way, diaper count is good, weight gain is good, and she has periods of alertness, she is a very enthusiastic nurser... everything indicates that she is healthy and normal, but 9.9-21 is a pretty big jump from thursday about noon to this morning about 10am.