Immediate Questions

A. How has infant been acting lately? Irritability, high-pitched cry, and seizures may be seen with bilirubin encephalopathy or kernicterus.

B. Has infant had fever? Always consider the diagnosis of infection or sepsis in an infant presenting with jaundice, particularly if jaundice appears in the first 24 hours of life or develops after 3 days of life. Other signs suggestive of infection include temperature instability, poor color or perfusion, tachypnea, lethargy, apnea, and poor feeding.

C. How has infant been feeding? Infants with poor feeding are at risk for dehydration and jaundice. In the first week of life, many infants and mothers have difficulty with breast-feeding, especially when infants are born before 38 weeks' gestation. Inadequate feeding may result in delayed stooling, which, in turn, may contribute to increased enterohepatic circulation of bilirubin.

D. What is mother's blood type? Are isoimmune antibodies present in mother's serum? Infants born to mothers with O-type blood are at highest risk for ABO incompatibility. Antibodies to other

New Mothers Guide to Breast Feeding

New Mothers Guide to Breast Feeding

For many years, scientists have been playing out the ingredients that make breast milk the perfect food for babies. They've discovered to day over 200 close compounds to fight infection, help the immune system mature, aid in digestion, and support brain growth - nature made properties that science simply cannot copy. The important long term benefits of breast feeding include reduced risk of asthma, allergies, obesity, and some forms of childhood cancer. The more that scientists continue to learn, the better breast milk looks.

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