so this morning we took kazim to see the doc.
the doc asked a few questions :
- blood test done on baby? yes.
- any abnormalities detected? no.
- been breastfeeding him exclusively? yes.
- from day one? yes.
- mother's blood type? A+
- baby vomitting? just a little when i don't burp him enough.
- did the doc check him before discharging you from hospital? you mean after birth? yes, doc checked and everything was fine.
the doc then diagnosed - breast milk jaundice!
what's jaundice, really?
- jaundice refers to the yellow color of the skin and whites of the eyes caused by excess bilirubin in the blood
- bilirubin is produced by the normal breakdown of red blood cells
- bilirubin is a yellow pigment that is created as the body gets rid of old red blood cells
- normally, the liver helps break down bilirubin so that it can be removed from the body in the stool.
jaundice occurs when bilirubin builds up faster than a newborn's liver can break it down and pass it from the body.
- babies make more bilirubin than adults do since they have more turnover of red blood cells
- baby's liver is still developing so may not yet be able to remove adequate bilirubin from the blood.
when to bring your baby to the doctor?
- jaundice is noted during the first 24 hours of life
- the yellow color deepens, getting more intense
- your baby develops a fever over 37.8° celsius
- if your child starts to look or act sick
kazim DOES NOT have ANY of these symptoms, alhamdulillah. cuma mata dia ade sikit yellowish and not clear white. he doesn't have fever at all, and he is feeding well, gaining weight and mata tu tak nampak pun makin kuning atau teruk. tu sebab doc cakap might be just breast milk jaundice.
what is breast milk jaundice?
breast milk jaundice is a type of jaundice in an otherwise healthy, breast-fed baby. it develops after the first week of life and continues up to the sixth week of life.
it is probably caused by factors in the breast milk, which block certain proteins in the liver that break down bilirubin.
don't be confused with 'breastfeeding jaundice', which occurs when the baby is NOT getting enough breast milk.
* * *
this nice nurse at the clinic used this device to determine the level of jaundice in kazim's skin. she pressed the small part against kazim's skin, and a checked the reading.
it said 5.
and she said it's a normal number for a normal, healthy baby. if there's jaundice, the reading would have read something like 14!
hmm, so since kazim is just '5' - kira ok sangat la kan?!
* * *
the doc suggested i alternate breast milk with formula for 48 hours, then come back after one week to see whether he's still showing any signs of jaundice.
i wasn't too happy with this, since i want to breastfeed him exclusively. i found a few articles from the net - some say that it is a way to cure breast milk jaundice, while there's one article that said it's totally unnecessary! click here for that article.
what do you think dear mommies?