EffectiveNursing Care Plan for Jaundice
- Is it allowed to breastfeed a baby with jaundice?
Of course! As a rule, extra breast milk should be given to the babies so that the jaundice could be flushed from the system. After your baby was nursed, pump up some more milk and give it to your baby. Ask a doctor to give you an effective nursing care plan for jaundice and follow it carefully.
- Is it a common condition for babies with jaundice to feel sleepy all the time?
Yes, it is. According to Wilson-Clay (2013), a lot of jaundiced babies feel sleepy. They can fall asleep for a long period of time between the feedings. In addition, they can even sleep during the feeding process. A mother has to control the feedings and should feed the baby at least eight times during 24 hours. In case the baby is too sleepy and it becomes difficult to feed it, visit the pediatrician immediately.
- How can we protect the breast feeding during the illness?
Most babies suffer from jaundice for a few days. Below you will find the step that should be followed during this time period:
- Feed your baby regularly. Bottle andbreast in case the necessity arises.
- The supply of milk should be protected. You canpump right after the nursing or even instead of the very nursing.
- The relationship of breastfeeding should be protected. In case you and your baby are stable, you can nurse your baby for a few minutes. Then feed the baby with the help of a bottle. Hold the bottle near your breasts while feeding. Right when you and your baby are stable and able, you can return to breast feeding exclusively.
- When a pediatrician recommends feeding the baby with a manufactured food, should a mother pump her breasts?
Yes, of course. You should pump your breast even if your baby needs an infant formula (manufactured food). In case a baby cannot gain weight and needs additional portions of milk in order to get well jaundice, mother's body can use some assistance by maintaining her milk supply during the illness period. Your breasts should be pumped after every nursing. Extra milk should be given to a baby. Your baby will need less manufactured food when you start giving him/her your extra breast milk. Pay attention to the kind of breast pump you use, because it matters a lot, especially when your baby cannot be nursed well for whatever reason.
- Is it important to use a certain formula?
Of course. Scientists claim a particular formula type assists to get rid jaundice faster. In addition, it helps to avoid milk allergy or any other sensitive reactions of a baby. It is recommended to consult with the pediatrician regarding what formula suits your baby best. Usually, an extensively hydrolyzed protein formula is administered to babies who suffer from jaundice.
- How does it happen that babies get jaundiced?
Almost half of newborns develop signs of jaundice. In most cases, it is harmless and babies get well in a few days. Every baby is born with extra red blood cells. So, when newborn's liver starts breaking the blood cells down, bilirubin (yellow pigment) is produced. This yellow pigment seeps into the skin of a baby.
It is easy to identify the amount of yellow pigment in baby's blood by taking a blood sample from newborn's heel. In order to get rid of jaundice, an effective neonatal jaundice care plan is necessary. Please note that the bilirubin level can increase in case of irregular breastfeeding caused by baby's sleepiness. That is why it is vital to stick to the developed nursing care plan for jaundice.Some newborns have higher risk of developing jaundice, for example, premature babies, babies of diabetic mothers or babies with excessive bruising.
- How to treat babies with jaundice?
When a newborn baby suffers from jaundice, jaundice nursing care plan for adults is also needed. It will help parents to get rid of the illness faster. First of all, a baby should be fed regularly. In addition, bay's jaundice care plan depends on a few factors. Remember that the age of your baby as well as the level of bilirubin will impact on the action plan. Feeding the baby is the most significant aspect. A baby has to poop bilirubin out. That is why you should give lots of milk to your baby. You should protect the rest of your baby to make the breastfeeding process effective. When you cannot feed your baby because it is asleep, offer extra breast milk or a manufactured food in a bottle. There is no need to worry about this situation. Remember, it is temporary. You should protect the supply of breast milk until your baby can be fed with it again. Phototherapy can be applied in case it becomes difficult to keep the bilirubin on a normal level.
- How to decode the numbers of bilirubin?
Usually, the level of bilirubin increases between the 3d and the 5th day of baby's life. It picks up on the 4th or 5th day. When the level of bilirubin remains below 15 mg/dL, and the newborn does not suffer from any other conditions, the jaundice can be perceived as harmless. A mother should continue feeding the baby and the illness will go away. When the level of bilirubin is between ~17 mg/dL and ~20 mg/dL and your newborn has any other medical conditions, a phototherapy can be applied to treat the jaundice.
- Phototherapy? What is it?
A special blue light is used to break down the blood cells faster. Parents can use it at home by covering their baby with special blanket with built in lamps. When a baby undergoes the phototherapy, the level of bilirubin should be checked regularly.
- Is it better to place your newborn under the indirect sunlight, give water and replace the breast milk with infant formula?
No way. Such practice is not recommended bythe American Academy of Pediatrics. It is better to consult with your pediatrician.
- How does a mother can protect herself from breast engorgement and milk loss, when a doctor recommends to stop breastfeeding on period of illness?
A mother should use a quality breast pump and breast drainage 8 times during every 24 hours. If a mother does not breast pump, she is at high risk of painful engorgement, breast infection and decrease in supply of milk. Moreover, if you plan to breastfeed your baby after the illness goes away, you should pump regularly. In case you notice infection symptoms, visit your OB or any other health care provider immediately.
- Jaundice is a temporary condition
Remember that your feeding plan changes are temporary. Follow nursing care plan for jaundicecarefully and as soon as the illness is resolved, start breastfeeding your baby again. Please note that nursing diagnosis for jaundice in adults should be taken into the most serious consideration.