Data/hora: 08/06/2024 09:37:01

Provedor de dados: | Brazilian Journal of Medical and Biological Research
País: | Brazil
Título: | Risk factors for excess weight loss and hypernatremia in exclusively breast-fed infants
Autores: | Çaglar,M.K.; Özer,I.; Altugan,F.S.
Data: | 2006-04-01
Ano: | 2006
Palavras-chave: | Neonate; Dehydration; Breast-feeding; Hypernatremia; Weight loss.
Resumo: | 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  &gt; 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 &lt; 0.05), primiparity (P &lt; 0.005), less than four stools (P &lt; 0.001), pink diaper (P &lt; 0.001), delay at initiation of first breast giving (P &lt; 0.01), birth by cesarean section (P &lt; 0.05), extra heater usage (P &lt; 0.005), extra heater usage among mothers who had appropriate conditions associated with breast-feeding (P &lt; 0.001), mean weight loss in neonates with pink diaper (P &lt; 0.05), mean uric acid concentration in neonates with pink diaper (P &lt; 0.0001), fever in hypernatremic neonates (P &lt; 0.02), and the correlation of weight loss with both serum sodium and uric acid concentrations (P &lt; 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.
Tipo: | Info:eu-repo/semantics/article
Idioma: | Inglês
Identificador: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2006000400015
Editor: | Associação Brasileira de Divulgação Científica
Relação: | 10.1590/S0100-879X2006000400015
Formato: | text/html
Fonte: | Brazilian Journal of Medical and Biological Research  v.39 n.4 2006
Fonte: | info:eu-repo/semantics/openAccess