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Dehydration and hypernatremia in breast-fed term healthy neonates

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Abstract

Objective: The aim of the study was to determine the incidence of significant weight loss, dehydration, hypernatremia and hyperbilirubinemia in exclusively breast-fed term healthy neonates and compare the incidence of these problems in the warm and cool months.Methods: During the study period 496 neonates were recruited.Results: 157 neonates (31.6%) had significant weight loss (>10% cumulative weight loss or per day weight loss >5%). Clinical dehydration was present in 2.2% of neonates. Of these 157 neonates, 31.8% had hypernatremia and 28% had hyperbilirubinemia.Conclusion: The incidence of the above mentioned problems were higher in the warm months but the difference was not statistically significant.

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References

  1. Adelman RD, Solhang MJ Pathophysiology of Body Fluid and Fluid therapy—sodium. In Behrman RE, Kliegman RM, Jenson HB, eds.NELSON Text Book of Pediatrics, 16th edn. WB Saunders Company, 2000; 193–196.

  2. Bhat SR, Lewis P, Dinakar C. Hypernatrenic dehydration in a neonate.Indian Pediatr 2001; 38: 1174–1177.

    PubMed  CAS  Google Scholar 

  3. Bajpai A, Aggarwal R, Deorari AK, Paul, VK. Neonatal hypernatremia due to high breast milk sodium.Indian Pediatr 2002; 39: 193–196.

    PubMed  Google Scholar 

  4. Cooper WO, Atherton HD, Kahana M, Kotagal UR. Increased incidence of severe breast feeding malnutrition and hypernatremia in a metropolitan area.Pediatr 1995; 96: 957–960.

    CAS  Google Scholar 

  5. Chilton, LA. Prevention and management of hypernatremic dehydration in breast fed infants.WJM 1995; 163: 74–76.

    PubMed  CAS  Google Scholar 

  6. Davies DP. Is inadequate breast feeding an important cause of failure to thrive.Lancet 1979; 541–542.

  7. Roddey OF, Martin ES, Swetenburg RZ. Critical weight loss and malnutrition in breastfed infants.Am J dis Child 1981; 135: 597–599.

    PubMed  Google Scholar 

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Correspondence to Swarna Rekha Bhat.

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Bhat, S.R., Lewis, P., David, A. et al. Dehydration and hypernatremia in breast-fed term healthy neonates. Indian J Pediatr 73, 39–41 (2006). https://doi.org/10.1007/BF02758258

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