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.
Similar content being viewed by others
References
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.
Bhat SR, Lewis P, Dinakar C. Hypernatrenic dehydration in a neonate.Indian Pediatr 2001; 38: 1174–1177.
Bajpai A, Aggarwal R, Deorari AK, Paul, VK. Neonatal hypernatremia due to high breast milk sodium.Indian Pediatr 2002; 39: 193–196.
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.
Chilton, LA. Prevention and management of hypernatremic dehydration in breast fed infants.WJM 1995; 163: 74–76.
Davies DP. Is inadequate breast feeding an important cause of failure to thrive.Lancet 1979; 541–542.
Roddey OF, Martin ES, Swetenburg RZ. Critical weight loss and malnutrition in breastfed infants.Am J dis Child 1981; 135: 597–599.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
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
Issue Date:
DOI: https://doi.org/10.1007/BF02758258