Document Detail

Hypernatraemic dehydration in Jamaican breastfed neonates: a 12-year review in a baby-friendly hospital.
MedLine Citation:
PMID:  15720886     Owner:  NLM     Status:  MEDLINE    
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.
H Trotman; C Lord; M Barton; M Antoine
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of tropical paediatrics     Volume:  24     ISSN:  0272-4936     ISO Abbreviation:  Ann Trop Paediatr     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2005-02-21     Completed Date:  2005-05-31     Revised Date:  2005-10-25    
Medline Journal Info:
Nlm Unique ID:  8210625     Medline TA:  Ann Trop Paediatr     Country:  England    
Other Details:
Languages:  eng     Pagination:  295-300     Citation Subset:  IM    
Section of Child Health, Department of Obstetrics, Gynaecology and Child Health, University of the West Indies, Mona, Kingston, Jamaica.
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MeSH Terms
Acidosis / epidemiology,  etiology
Breast Feeding*
Dehydration / epidemiology*,  etiology
Home Care Services
Hypernatremia / complications,  epidemiology*
Infant, Newborn
Jamaica / epidemiology
Prenatal Care / methods
Retrospective Studies
Sodium / blood
Weight Loss / physiology
Reg. No./Substance:
Comment In:
Ann Trop Paediatr. 2005 Jun;25(2):147-8   [PMID:  15949206 ]

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