Looking for other mamas out there dealing with this - did a search and didn't see anything recent.
LO was born 2 weeks early and had a severe cephalohematoma from birth trauma. The docs warned me that he had a high liklihood of developing jaundice. I thought I had stayed ahead of it - he's eating REALLY well, has a strong latch and feeds every 2 hrs like clockwork. Sleeps a lot but is easy to rouse and very aware and interactive when awake. Well today (3 days old), his eyes are starting to yellow. I feel totally heartbroken - like its my fault somehow. Like I could have fed him more or not crushed his poor little head at birth. My milk hasnt come in yet (day 3) so that adds to my guilt. First doctor's appointment tomorrow but in the meantime, is anybody else out there dealing with jaundice? Did you have to switch to formula feeding? Im reading sometimes they do that :-(
Re: Newborn jaundice - anyone else?
Hang in there. I got extremely frustrated halfway through because we were doing everything right but the jaundice just wasn't going away. In fact, it went up a little bit before it went down. When your milk supply comes in, pump so you can supplement between feedings. This was huge as DH could help and I could work on replenishing my supply. Her cluster feeding was really tough. It isn't your fault. Just keep feeding her and once your milk supply comes in, it'll get easier.
One other thing. I was voicing my frustration to DH midway through out jaundice week and he said something that really helped put things in perspective. He reminded me that DD was not supposed to be born yet. She was still supposed to be in me for another 3-4 weeks. That's a long time and makes a big difference. Once he mentioned that, I made sure to get in as much skin to skin contact with her, hold her, and really watch her cues to make sure I'm feeding her, even it's more frequently than the 2-3 hours. One night she went through close to 5 oz in 2 hours (lactation consultants said they want her to eat 1 oz/feeding). She didn't spit any of it up - she must have just needed the extra food for growing and putting on weight.
And just like you, I felt so confident that he wasn't going to get it! He was nursing so well and pooping and peeing like crazy!
How did you cope emotionally? Everytime I look at his perfect little face with its yellow skin, I want to sob.
5.5.16 | 8.14.17 | 1.30.19
My friends baby had it for I think 2 weeks but none of the many doctors involved suggested she supplement with formula so she breastfed the entire time. Her baby is a month old and great now. She had a blanket they gave for home use to help the levels.
He also started losing weight so I ended up pumping what I could and supplementing formula till my milk came in. Now I pump and bottle feed with the occasional breastfeeding for bonding. At 2 weeks, he's above birth weight at 10lbs!
Hang in there! You'll get through this! Jaundice is more common than you think. I felt bad also but we've made it through. As long as he's gaining weight and have lots of dirty diapers than it's a good sign!
ETA: We only had to use formula for 2 days or less. Now it's all breast milk for us!
DD3 we caught just prior to getting discharged 4 days PP. Her levels were high enough that we both ended up staying an extra night so she could be under the lights. Her levels were down enough the following morning we didn't need the lights anymore and got discharged that afternoon. Honesty, I'm glad it happened the way it did this time around since it was a lot less stressful than DD2. I think hers was caused by my milk coming in late since I ended up needed a c-sec (my first one).
It can be scary knowing your tiny baby is already "sick" but it is really common and there isn't much you can do to prevent it and it's easy to deal with. Hang in there mama!!
First Pregnancy
Second Pregnancy
- BFP: 09/11/2015
- EDD: 05/25/2016
Baby Born04/15/2016
PGAL
DS was born May 3 perfectly healthy and beautiful (full term, 8lbs 9oz) and by the next morning he'd turned yellow, especially the whites of his eyes. We hadn't thought too much of his complexion, since I'm olive-skinned, but the eyes were alarming. I wasn't producing enough for him to eat, and had no idea because the lactation consultants at the hospital were too busy to see me (still mad about that). We just thought baby was a little fussy, not that he was starving, which he was. We had to go back to the hospital for two days under the bili lights, and I was a wreck the whole time, thinking how I'd starved my child and should have noticed sooner and should have insisted on not leaving the hospital til a lactation consultant had seen me and all the things, and *then* I was a wreck because I was a wreck in front of all the doctors, who were doing their best to take care of my son while his mother (me) was melting down over a perfectly treatable illness...
I felt like a failure as a mom, as a wife (making my husband take care of me emotionally), and as a person (we were in a pediatric ICU where I know for sure that all the other little patients had far worse prognoses than my son).
Anyway. It's been three weeks, baby is now his normal color (peaches and cream, like DH) and while the hospital experience combined with my low milk production means that we are primarily formula feeding and supplementing with breastmilk (another rough thing, emotionally and practically and financially), the bili lights seem a distant memory and we are just enjoying one another now.
You'll get through this:)
But there are some things that helped me melt down a little less, I guess?
1. Being mad at the absentee lactation consultants did help me keep my shit together. If you can find someone to be mad at, do it! Anger is a powerful emotion.
2. Also, DH reminded me (when I had my full meltdown, after we came home) that I was a good mom: that I'd prepped everything for the baby, that I'd carried him for nine months and gone through physical trauma for him, that I'd crocheted him blankets and bought him diapers and all that... Being a good mom is not something that hinges on just one thing, but it's an accumulation of all the things you do and want to do for your kids.
3. One of the nurses who was trying to help me breastfeed in the PICU was very helpful with the transition to formula (which was a huge part of my own emotional roller coaster, since I'd always assumed I'd be breastfeeding)--she told me that kindergarten teachers can always tell which kids had their parents read to them at bedtime, but could never pick out which kids had been formula fed and which had been breast-fed.
We were discharged from the hospital yesterday with a bilirubin of 13.8. I asked about a photoblanket at that time and was told that "Once the bili starts going down, it typically just continues to do that. Keep putting him in a sunny window and feeding every 2 hours. We don't typically do photoblankets. We feel if they need the lights, they need the lights and nothing is a substitute." They wanted to recheck Friday at 3:30.
I called this AM to get in for a recheck today because he was starting to look a little more yellow to me again. Had an 11am appointment in which I had a complete meltdown. Doctor said, "nah, he's not even that yellow, normally I wouldn't even check it but since you're so anxious, we will check." I asked AGAIN about photoblankets and she said, "Yeah, that's a great idea! Unfortunately, we're a small town and no one does them here. Just keep sunning him and feeding him."
They just called back. Bilirubin is UP to 15.7! They want to recheck Monday, and again, I'm supposed to just keep sunning and feeding. I'M FURIOUS. For starters, it went up 2 mg/dl in 24 hours. If it continues to rise at that rate, by Monday, it will be 23 which is a scary level and guarantees hospitalization. Besides that, I've been sunning him as I was directed and feeding every 1.5 to 2 hours since Saturday and IT HASN'T HELPED. I can't make him eat more, he produces well over 12 wet and poopy diapers per day, drains my breasts each time and WANTS to eat q2 hours - it's not like I'm even forcing him.
They keep saying, "No one around here does bili blankets." I know that to be bull shit because I know several parents HERE who have had bili blankets at home.
So what I need to know, from those of you who have used the biliblankets:
-Where did you get them? Medical supply company? Pharmacy?
-I found one on Amazon, but obviously I would be doing the therapy myself until our recheck on Monday since my pediatrician refuses to be proactive. How did therapy work? (Hours per day, goggles needed, etc?) Desperate mama here.
Thanks everyone.
I'm not sure about the one you're looking into, but the one we got, we kept DS in it all hours straight while at home. He wore it for 4 days. Even diaper changes and feedings. They say you can take it off at changes but we were determined to make it work. Also, no goggles needed for the one we got, just kept him swaddled and wrapped up since they can't wear anything but a diaper. And it prevents the light from shining through during night time. The guy who delivered it gave us all the instructions on how to use it.
Same exact thing happened to us, but my doctor knew he was going to rebound once coming out of the hospital since he was no longer on the lights. We were at 11 and then jumped back up to 16 three days later. I demanded a blanket and he knew exactly where I was coming from (to avoid another hospital stay). Aire care brought us the blanket, but our doctor had to put the order in for them to bring it to our house. They called daily until we no longer needed it. I also refused any home care that went along with it, since every visit was close to $200. I just brought him in for his labs at the hospital instead of having the lady come to the house.
For what it's worth, my doctor said the sunlight is kinda old school and most windows nowadays have the UV blocked. He said my son would have to sit in the sun long enough and get burnt for anything to help.
We went again yesterday for blood work and it is slowly declining to 9.6 and last week was 12. We no longer have to go get poked and it should eventually be gone soon! He's 4 weeks today.
No goggles are are needed for the blanket either.
ETA: According to what I found online, babies 48-72 hours old only need phototherapy if their levels are greater than 18 and babies older than 72 hours only need phototherapy if their levels are greater than 20. It also says that they expect bilirubin levels to peak around 72 hours for full-term babies. I hope that helps!
Interesting about the windows. Fortunately ours are ancient and terrible so they probably dont block it (?) But it does feel like another thing to be annoyed about with the ped.
Also, Ive been waiting for a pediatrician to call me back for 4 hours now. Its a message on the after hours service and still no call back. Ugh
5.5.16 | 8.14.17 | 1.30.19
Today, at his first pedi visit, they did another count and it was super high.
All this time I was told it was MY fault for not feeding him enough (which I was) and because he was a preemie (which he most defs was not). Anyways, a nurse came out today and set up lights at our house, and he has to stay like this for at least 3 days. She then asked about my blood group and his, and then explained that because I am O- and he is A+ that is more than likely the reason for his jaundice.
Anyways, I am super down sitting next to my boy on the lights. He's luckily not crying but he doesn't look very happy. I have to start supplementing with formula as well.
Pic of Alex chilling.
This is my son under his blanket
the blanket wrapped around his whole torso, from under the armpits to just above the waist so the diaper can fit.
So is the lights in the blanket? Sorry, very curious about it (haha)
This is what it looks like actually.
Hope poor Alex gets out of his bed soon!
I put his friend Ollie with him, but I think he is not bothered by the bed. I hope not! Hope your boy will be better soon x