paeds1011
A 5-day-old infant is admitted to the ward. She was born at full term by normal vaginal delivery weighing 3.48kg and has been breastfed since birth. She has now lost 11% of her birth weight and bilirubin is above the phototherapy line. On examination, her fontanelle is soft, CRT<2 seconds, she is active and alert. U&Es have been sent, and the sodium on a blood gas is 144. You have started phototherapy, but still, need to make a plan about fluids and feeding. Mother wants to continue breastfeeding but is also happy to introduce some formula milk. What is the MOST appropriate course of action?