Brief Answer:
Breast feeding is best

Detailed Answer:
Thanks for asking on Healthcaremagic.

I have gone through your query and understand your concerns. The child before birth has hemoglobin level more than that of the mother, so that oxygen can be derived from the mother to the fetus. This extra hemoglobin breaks down after birth producing the bilirubin. The acceptable bilirubin level varies with age in days and weight in kg. Based on the current position, phototherapy is not required. You can place the child under morning rays of the sunlight. Nothing else needs to be done. You need not worry about relapse.

Let me emphasize on the fact that breast milk is the best possible milk for a baby and there can be no alternatives for the same. Most formula milks are cow milk based and hence difficult to digest. Moreover they make the child more prone to complications and infections. Mother's breast milk is produced on the demand of the baby. Hungrier the baby, more vigorous is the suck. More is the suck, more is the amount of breast milk produced. Giving formula automatically reduces the demand of the baby and thereby the production of breast milk. All you need to do is to switch back to exclusive breast feeding and the production will increase automatically. All you need to do is to monitor the urine output. If the frequency is more than 6 times in 24 hours, you would know that the amount of feeding is adequate. If the amount of passage of urine is less or if the child is lethargic you would need to take the child to a doctor without delay. I would discourage top feeds.

The retic count is normal and not a cause for concern.

Weight below 2.5kg is considered low birth weight. She is not underweight.

Regards

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Brief Answer:
Questions answered one by one

Detailed Answer:
Thanks for writing back.

For dryness of skin it is better to apply some moisturizer like aloe vera lotion which hydrates the skin. Oil does not hydrate the skin. It does not get absorbed by the skin. It only adds an external lusture hiding the dryness.

You wrongly understand that her bones are brittle. They are in stage of formation. They need vitamin D for absorption of calcium which is available from breast milk. The vitamin D needs to be supplemented and you can give Calshine P Drops 0.5ml once daily regularly for the same. Applying oil on the skin will not make bones stronger (the oil will not even get absorbed).

Tactile stimulation helps. Be sure to run your hand step by step all through the body of the child. About other forms of stimulation please look up:
https://www.youtube.com/watch?v=UuOjlw4RZ3U

Hemoglobin level is fine. You need not worry about relapse.

Regards

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Brief Answer:
Not enough

Detailed Answer:
No one drop of Calshine will not be ok. 0.5 ml or 8 drops would be required daily. Giving A to Z Drops daily is also advisable.

Regards

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Brief Answer:
Questions answered one by one

Detailed Answer:
Thanks again for writing back.

* Yes, Calshine P drops should be given in one go. No specific time but it is preferable to be given at the same time everyday.
* 10 drops of A to Z Drops should be given daily.
* No issues on use of GoodKnight or All-Out unless specific allergic rashes or respiratory distress are observed.
* The primary precaution is to keep the baby comfortable and warm. Nothing else.

Regards

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