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flea ([personal profile] flea) wrote2006-07-15 01:54 pm
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fuck dat

Yesterday we met a two year old named Trey in the waiting area at the doctor's office. The only words I heard him utter were "fuck dat" over and over, as his gradmother whacked the back of the chair he was sitting in repeatedly with her cane, then escalated to slapping him on the hand. Then he stopped.

We got billirubined again, and yesterday's number was 16, but on day 4 they treat at 19, so no treatment. Just a prescription to go to the ER for another measurement Saturday. Dillo's weight was up to 8 pounds even again, a good sign, and we'd supplemented with forumla only once, not enough to bring his weight up that much.

Overnight we fed him regularly and gave him an ounce of formula after every other feeding, and he pooped twice in the evening, so I was hopeful that the levels would be down or stable this morning. Nope, 18, so we have to go in to the ER and monitor AGAIN tomorrow.

Still supplementing with formula. I have reached the blood stage with both nipples (nobody said breastfeeding was for wimps!) but the milk is in and he's getting letdown even if I'm not dripping all over the place.

I hope tomorrow the numbers are lower, not least because it's a pain in the ass to go to the ER (the ped's labs are closed on the weekend.)

Jaundice. Fuck dat.

[identity profile] vwbug.livejournal.com 2006-07-15 06:15 pm (UTC)(link)
Awww...poor little guy! Poor mom and dad!

Definitely fuck dat!

[identity profile] ste-noni.livejournal.com 2006-07-15 06:49 pm (UTC)(link)
Poor little Dillo. I'm glad he's managing to stay under the treatment levels but it sounds stressful even so. Also, I'm so sorry to hear about the painful nursing. It seems like your body should somehow skip past the painful part given that you nursed Casper for over 2 years.

I'm curious - is there something special about formula that helps in cpmbating jaundice? Or maybe it's just that he needs milk sooner and your milk supply isn't adequate yet? You mentioned the formula yesterday and it got me wondering. The only baby I've ever known (well) that had jaundice was my brother but I was three then so I have no idea how they got rid of it.

I'll be thinking happy, sunshine-y, low billirubin thoughts for Dillo and quick-healing-nipple thoughts for you!

[identity profile] ste-noni.livejournal.com 2006-07-15 06:54 pm (UTC)(link)
Since you are the one with the newborn, I answered my own question (using www.askdrsears.com, a site I believe you told me about when Ellie was a newborn):

Bilirubin levels average 2-3 milligrams higher in breastfed infants than in formula-fed infants (14.8 milligrams versus 12.4 milligrams). The difference is thought to be due to an as-yet unidentified factor in breastmilk that promotes increased intestinal absorption of bilirubin, so that it goes back into the bloodstream rather than moving on to the liver. Higher rates of jaundice in breastfed infants may also be related to lower milk intakes in the first days after birth, because of infrequent or inefficient feeding. It is normal for jaundice to last a bit longer in breastfeeding infants, sometimes until the third week after birth.

[identity profile] casperflea.livejournal.com 2006-07-15 11:08 pm (UTC)(link)
The reason for the formula, as I understand it, is that bilirubin is excreted through the poops (it's what makes meconium black) and when the baby isn't pooping, it can even be reabsorbed through the intestines and make the levels higher. So the key is to make the baby poop, and if your milk isn't in, or isn't in fully, the formula is a help. I think we're going to stop now, since he's had a poop that is 100% normal baby, not transitional from meconium. So everything that can be excreted that way has been I think. I do think if my milk tended to come in faster I'd have had less problem, with both kids - but my milk is definitely not fully in until day 5, with both kids. If I have another I'll actually consider supplementing earlier, just to avoid the stress and hassle. We're supplementing with a syringe while he sucks on a finger, so no risk of nipple confusion.

[identity profile] ste-noni.livejournal.com 2006-07-16 12:49 am (UTC)(link)
I was wondering about nipple confusion but I wasn't going to ask. At least you went through this with Casper so it's not a total shock. I'm glad to ehar he's making progress and I'm glad your milk is in!