%0 Journal Article
%T Hypernatremic Dehydration in Exclusively Breast-fed Infants
%A Ulfet VATANSEVER
%A Ridvan DURAN
%A Betul ACUNAS
%J Trakya Universitesi Tip Fakultesi Dergisi
%D 2007
%I 
%X Objective: The characteristic features of exclusively breast-fed infants with hypernatremic dehydration in our neonatal intensive care unit were evaluated.Patients and Methods: Within the last two years, fourteen exclusively breast-fed newborn infants (10 females, 4 males; mean gestational age 38¡À1.7; range 34 to 40 weeks) whose serum sodium level was equal to or greater than 150 mEq/L with signs of dehydration were evaluated from clinical charts retrospectively.Results: 71% of all cases were girls. Mean birth weight was 3020¡À715 gr. 93% of the cases were AGA and 78.6% were first child of the family. Mean age of mothers was 28¡À5.4 years. 57% of the cases were born by cesarean and 57% were referred to our hospital from different hospitals. The most common presenting complaint was fever and refusing sucking; and mean application time was 5.5¡À4.6 days. On the admission, mean weight loss was 14.5¡À9.1%, serum sodium level 158.5¡À14 mEq/L, serum urea level 73¡À109 mg/dl, serum creatinine level 1.2¡À2.1 mg/dl, and serum osmolarity 338¡À35 mOsmol/L.Conclusion: It was remarkable that the cases were mostly first babies and born by cesarean section. A possible solution for hypernatremic dehydration would be to provide breast feeding consultancy to mothers.
%K Breast feeding
%K dehydration
%K hypernatremia
%K infant
%K newborn
%U http://www.tutfd.org/pdf.php3?id=129