Risk factors for excess weight loss and hypernatremia in exclusively breast-fed infants
Data were prospectively obtained from exclusively breast-fed healthy term neonates at birth and from healthy mothers with no obstetric complication to determine risk factors for excess weight loss and hypernatremia in exclusively breast-fed infants. Thirty-four neonates with a weight loss > or =...
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| Format: | Article |
| Language: | English |
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Associação Brasileira de Divulgação Científica
2006-04-01
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| Series: | Brazilian Journal of Medical and Biological Research |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2006000400015 |
| _version_ | 1811231108728094720 |
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| author | M.K. Çaglar I. Özer F.S. Altugan |
| author_facet | M.K. Çaglar I. Özer F.S. Altugan |
| author_sort | M.K. Çaglar |
| collection | DOAJ |
| description | Data were prospectively obtained from exclusively breast-fed healthy term neonates at birth and from healthy mothers with no obstetric complication to determine risk factors for excess weight loss and hypernatremia in exclusively breast-fed infants. Thirty-four neonates with a weight loss > or = 10% were diagnosed between April 2001 and January 2005. Six of 18 infants who were eligible for the study had hypernatremia. Breast conditions associated with breast-feeding difficulties (P < 0.05), primiparity (P < 0.005), less than four stools (P < 0.001), pink diaper (P < 0.001), delay at initiation of first breast giving (P < 0.01), birth by cesarean section (P < 0.05), extra heater usage (P < 0.005), extra heater usage among mothers who had appropriate conditions associated with breast-feeding (P < 0.001), mean weight loss in neonates with pink diaper (P < 0.05), mean uric acid concentration in neonates with pink diaper (P < 0.0001), fever in hypernatremic neonates (P < 0.02), and the correlation of weight loss with both serum sodium and uric acid concentrations (P < 0.02) were determined. Excessive weight loss occurs in exclusively breast-fed infants and can be complicated by hypernatremia and other morbidities. Prompt initiation of breast-feeding after delivery and prompt intervention if problems occur with breast-feeding, in particular poor breast attachment, breast engorgement, delayed breast milk "coming in", and nipple problems will help promote successful breast-feeding. Careful follow-up of breast-feeding dyads after discharge from hospital, especially regarding infant weight, is important to help detect inadequate breast-feeding. Environmental factors such as heaters may exacerbate infant dehydration. |
| first_indexed | 2024-04-12T10:40:36Z |
| format | Article |
| id | doaj.art-c0f4f8ba7d6e40b692271843ae827fb9 |
| institution | Directory Open Access Journal |
| issn | 0100-879X 1414-431X |
| language | English |
| last_indexed | 2024-04-12T10:40:36Z |
| publishDate | 2006-04-01 |
| publisher | Associação Brasileira de Divulgação Científica |
| record_format | Article |
| series | Brazilian Journal of Medical and Biological Research |
| spelling | doaj.art-c0f4f8ba7d6e40b692271843ae827fb92022-12-22T03:36:37ZengAssociação Brasileira de Divulgação CientíficaBrazilian Journal of Medical and Biological Research0100-879X1414-431X2006-04-0139453954410.1590/S0100-879X2006000400015Risk factors for excess weight loss and hypernatremia in exclusively breast-fed infantsM.K. ÇaglarI. ÖzerF.S. AltuganData were prospectively obtained from exclusively breast-fed healthy term neonates at birth and from healthy mothers with no obstetric complication to determine risk factors for excess weight loss and hypernatremia in exclusively breast-fed infants. Thirty-four neonates with a weight loss > or = 10% were diagnosed between April 2001 and January 2005. Six of 18 infants who were eligible for the study had hypernatremia. Breast conditions associated with breast-feeding difficulties (P < 0.05), primiparity (P < 0.005), less than four stools (P < 0.001), pink diaper (P < 0.001), delay at initiation of first breast giving (P < 0.01), birth by cesarean section (P < 0.05), extra heater usage (P < 0.005), extra heater usage among mothers who had appropriate conditions associated with breast-feeding (P < 0.001), mean weight loss in neonates with pink diaper (P < 0.05), mean uric acid concentration in neonates with pink diaper (P < 0.0001), fever in hypernatremic neonates (P < 0.02), and the correlation of weight loss with both serum sodium and uric acid concentrations (P < 0.02) were determined. Excessive weight loss occurs in exclusively breast-fed infants and can be complicated by hypernatremia and other morbidities. Prompt initiation of breast-feeding after delivery and prompt intervention if problems occur with breast-feeding, in particular poor breast attachment, breast engorgement, delayed breast milk "coming in", and nipple problems will help promote successful breast-feeding. Careful follow-up of breast-feeding dyads after discharge from hospital, especially regarding infant weight, is important to help detect inadequate breast-feeding. Environmental factors such as heaters may exacerbate infant dehydration.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2006000400015NeonateDehydrationBreast-feedingHypernatremiaWeight loss |
| spellingShingle | M.K. Çaglar I. Özer F.S. Altugan Risk factors for excess weight loss and hypernatremia in exclusively breast-fed infants Brazilian Journal of Medical and Biological Research Neonate Dehydration Breast-feeding Hypernatremia Weight loss |
| title | Risk factors for excess weight loss and hypernatremia in exclusively breast-fed infants |
| title_full | Risk factors for excess weight loss and hypernatremia in exclusively breast-fed infants |
| title_fullStr | Risk factors for excess weight loss and hypernatremia in exclusively breast-fed infants |
| title_full_unstemmed | Risk factors for excess weight loss and hypernatremia in exclusively breast-fed infants |
| title_short | Risk factors for excess weight loss and hypernatremia in exclusively breast-fed infants |
| title_sort | risk factors for excess weight loss and hypernatremia in exclusively breast fed infants |
| topic | Neonate Dehydration Breast-feeding Hypernatremia Weight loss |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2006000400015 |
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