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Publication Type
Journal Article
Author, Analytic
Trotman-Edwards, Helen L. ; Lord, C. ; Barton-Forbes, Michelle ; Antoine, Mathias
Author Affiliation, Ana.
Department of Obstetrics, Gynaecology and Child Health
Article Title
Hypernatraemic Dehydration in Jamaican Breastfed Neonates: A 12-Year Review in a Baby-Friendly Hospital
Medium Designator
n/a
Connective Phrase
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Journal Title
Annals of Tropical Paediatrics
Translated Title
n/a
Reprint Status
Refereed
Date of Publication
2004
Volume ID
24
Issue ID
4
Page(s)
295-300
Language
n/a
Connective Phrase
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Location/URL
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ISSN
0272-4936
Notes
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Abstract
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%) 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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