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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]this is psychopathic. AAP says that even if your baby is so jaundiced *they need phototherapy*, they STILL should not get formula unless they are literally on the verge of needing a blood transfusion:

“ The need for phototherapy in an otherwise healthy infant without signs of dehydration and/or insufficient intake is not an indication for supplementation with formula, unless bilirubin concentrations are approaching exchange transfusion levels.”

JFC. They are literally advocating that babies go just to the line of severe jaundice and brain damage, just to avoid a bottle of formula.

At this point, I truly feel like there is a cultish devotion to “exclusive breast feeding” at the AAP and other public health organizations that has nothing to do with the wellbeing of infants and mothers. It’s about exerting moral control over women and their bodies… what women may want and need is irrelevant; they have to do what AAP dictates is the way to use their bodies. Yes there is a “health exception” (sound familiar?) but it only kicks in if the infant is one step away from serious harm … and the mental state and preference of the mother are irrelevant. [/quote]

Because phototherapy is the treatment for jaundice, and formula is not? The line you quoted specifically says if the baby needs formula for *food* (that’s what “insufficient intake” means) it is indicated.

When you are the only person in a thread calling everything psycho, bonkers, insane etc. have you considered the possibility that the call is coming from inside the house? [/quote]

Absolutely wrong - [b]increased intake is therapy for jaundice. [/b]And whereas the CDC says supplementation should be on a case by case basis, AAP says “no supplementing until baby is so sick they almost need a blood transfusion.” That is an absolutely horrifying approach. And it also ignores the agency of parents. This should be a matter of shared decisionmaking, not a paternalistic decision of doctors to decide the parents’ priorities.

Imagine if a doctor told you this: “Your baby has jaundice and needs phototherapy. Supplementation with formula could help, but the AAP recommends that we wait until just before your baby needs a blood transfusion. This is to prioritize breastfeeding. However you could also pump during that time to maintain your supply. Would you like to wait until your baby almost needs a blood transfusion because you want to prioritize breastfeeding, or give a bottle earlier?”[/quote]

Increased intake is therapy for jaundice. Formula is not inherently required to increase intake. A doctor could say (and many do) “your baby has jaundice. We will be giving them phototherapy to help. It’s very important they get a lot to eat in this time, so we suggest you start pumping between feeds to encourage your milk supply/syringe feed between nursing sessions/ make sure you are hydrated enough and resting enough to produce milk. We will monitor to see if your baby needs anything additional such as formula or donor milk”

Formula is not a magical substance. Formula is not the only answer to increased intake unless you come at the discussion from a perspective they more formula is an inherent good. Like, for example, if you work for a formula company. [/quote]

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