| Hypernatraemic dehydration in Jamaican breastfed neonates: a 12-year review in a baby-friendly hospital. | |
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MedLine Citation:
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PMID: 15720886 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 12-year retrospective review of neonates admitted with hypernatraemic dehydration to the neonatal unit of the University Hospital of the West Indies was conducted between 1 January 1990 and 31 December 2001. Twenty-four infants fulfilled the criteria for hypernatraemic dehydration. Nineteen (79%) women were either nulliparous or primiparous with a mean (SD) age of 26.9 (4.4) yrs. Modal length of hospital stay for mothers was 24 hrs. Twenty (83.3%) infants were exclusively breastfed. Mean (SD) age at presentation was 7.4 (3.8) days. Mean (SD) percentage weight loss between birth and presentation was 18.9% (6.3). Mean (SD) serum sodium at presentation was 164.8 (13.9) mmol/L. Babies visited at home by nurses had a lower mean serum sodium, were less dehydrated and were significantly less acidiotic. Their mean (SD) length of hospital stay was also significantly less [4.2 (1.4) days] than those who were not visited [7.9 (3.8) days] (p < 0.05). Complications occurred in 19 (79%) of infants and included renal failure (19, 79%), seizures (3, 13%) and intraventricular haemorrhage (1, 4%), and one died (4%). Hypernatraemic dehydration is an uncommon complication of failure to establish breastfeeding but is associated with severe morbidity and mortality. Education programmes are needed to increase awareness amongst health-care workers and mothers in order to prevent the problem. |
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Authors:
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H Trotman; C Lord; M Barton; M Antoine |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Annals of tropical paediatrics Volume: 24 ISSN: 0272-4936 ISO Abbreviation: Ann Trop Paediatr Publication Date: 2004 Dec |
Date Detail:
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Created Date: 2005-02-21 Completed Date: 2005-05-31 Revised Date: 2005-10-25 |
Medline Journal Info:
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Nlm Unique ID: 8210625 Medline TA: Ann Trop Paediatr Country: England |
Other Details:
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Languages: eng Pagination: 295-300 Citation Subset: IM |
Affiliation:
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Section of Child Health, Department of Obstetrics, Gynaecology and Child Health, University of the West Indies, Mona, Kingston, Jamaica. helen.trotmanedwards@uwimona.edu.jm |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acidosis
/
epidemiology,
etiology Adult Breast Feeding* Dehydration / epidemiology*, etiology Female Home Care Services Humans Hypernatremia / complications, epidemiology* Incidence Infant, Newborn Jamaica / epidemiology Male Prenatal Care / methods Prognosis Retrospective Studies Sodium / blood Weight Loss / physiology |
| Chemical | |
Reg. No./Substance:
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7440-23-5/Sodium |
| Comments/Corrections | |
Comment In:
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Ann Trop Paediatr. 2005 Jun;25(2):147-8
[PMID:
15949206
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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