Hipernatremia neonatal: factores de riesgo Hypernatremic dehydration: risk factors. Neonatal hypernatremia is a serious condition in the newborn period. We present infants with hypernatremic dehydration due to breast milk (BM) hypernatremia. J Matern Fetal Neonatal Med. Jun;20(6) Moderate hypernatremic dehydration in newborn infants: retrospective evaluation of 64 cases. Uras N(1).

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Na content of BM at birth is very high and declines rapidly over the subsequent days. BM Na of the mother’s milk was also hipdrnatremia.

Moderate hypernatremic dehydration in newborn infants: retrospective evaluation of 64 cases.

R esults The results are depicted in Table 2. The practitioners should continue to recommend breastfeeding as the best method of nourishing healthy infants. Hypernatremic dehydration resulting from inadequate breast-feeding. Neonatal hypernatremia neojatal a potentially lethal condition and is associated with cerebral edema, intracranial hemorrhage, hydrocephalus, and gangrene. Management Babies who were active and accepting feeds were continued on oral feeds and monitored.

There can be compounding factors, including maternal and infant anatomical abnormalities that interfere with suckling dynamics. This is hiprnatremia to inadequate prolactin surges and a buildup of local inhibitory factors in the milk. Schwaderer A, Schwartz G. American Academy of Pediatrics Section on Breastfeeding.

In an otherwise healthy baby, poor feeding and weight loss could be a reason to suspect hypernatremia. Although there may be differences in various components of BM at the beginning and end of feed, the result showed this is not the case with respect to Na content of BM in the absence of unusual dietary habits or systemic or local disease processes affecting the breast.


Clinical Practice Guidelines : Hypernatraemia

Financial support and sponsorship Nil. Nelson Textbook of Pediatrics. Hypernatraemic dehydration in newborn infants. They were thoroughly evaluated for sepsis, hypoglycemia, hypocalcemia, and serum electrolytes. Index of Suspicion in the Nursery.

Moderate hypernatremic dehydration in newborn infants: retrospective evaluation of 64 cases.

First, when dealing with sick neonate galactopoiesis failure can occur due to infrequent breast stimulation and drainage. Neonatal hypernatremia is not as rare as is commonly believed. Another study from Italy reported that during the 1 st day of life, 7. Conflicts of interest There are no conflicts of interest. Some researchers have found that babies were at risk of breastfeeding failure from the beginning because of the following factors: Copyright and access This journal offers immediate free access to its content, following the principle that providing free scientific knowledge to the public provides greater global democratization of knowledge.

Studies show that there were progressive changes in the Na content of BM in the postpartum period when they compared two group of mothers; preterm hipernatremiw term.

Hypernatremic dehydration in newborn infants

Asia Pac J Clin Nutr ; 19; Elevated BM Na is an important etiological factor in neonatal hypernatremia. Arch Dis Child ; Jain S, Basu S. C onclusion Neonatal hypernatremia is not as rare as is commonly believed.


Normal saline is a meonatal initial rehydration fluid in children with diarrhea-related hypernatremia. The symptoms and signs of hypernatremia in neonates that we encountered were lethargy, irritability reduce urinary frequency, weight loss, fever, doughy skin.

Other clinical manifestations, when present, are usually nonspecific, with prevalence of neurologic symptoms that reflect intracellular dehydration. Serum Na was elevated in otherwise healthy hipdrnatremia, and BM Na was significantly and persistently elevated in all four cases. Author information Copyright and License information Disclaimer. In none of the babies was BM with-held. We analyzed records of babies admitted to the Neonatal Intensive Care Unit who were investigated and found to have neoatal and whose mother’s BM sodium BM Na was done.

Evaluation of neonatal hypernatremia and hypernatremic dehydration in neonates receiving exclusive breastfeeding.

Electrolytes disorders in Pediatric Intensive Care Unit. There should be a high level of suspicion and early recognition of the underlying breastfeeding problems before the onset of serious and sometimes life-threatening dehydration.