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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Nevertheless, from tothere were sporadic reports of hypernatremia dehydration occurring in breast-fed babies. Recent studies have identified breastfeeding malnutrition as a key factor in its pathophysiology but have hipernatrekia to classify the causes of insufficient milk intake. Gouveia C, Adelaide O.

Pediatrics International ; Mothers whose BM Na was not done at the time of neonatal hypernatremia were excluded. Nascer e Crescer — Birth and Growth Medical Journal do not charge any submission or processing fee to the articles submitted. Serum Na was elevated in otherwise healthy newborns, and BM Na was significantly and persistently elevated in all four cases.

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Neonates not satisfying any mentioned criterion. Neonatal hypernatremia is a serious condition in the newborn period. Table 4 Fluid schedule for Hypernatremic dehydration.

Clinical Pediatric Emergency Medicine ; Electrolytes and acid base disorders. The works are licensed under a Creative Commons Attribution Non-commercial 4. Nelson Textbook of Pediatrics. Goff DA, Higinio V. Electrolytes disorders in Pediatric Intensive Care Unit. Conflicts of interest There are no conflicts of interest.

Indian J Pediatr ; Am J Forensic Med Pathol. R esults The results are depicted in Table 2. Current Understanding and Management. C onclusion Neonatal hypernatremia is not as rare as is commonly believed.

Critical weight loss and malnutrition in breast-fed infants. Hypernatremic dehydration resulting from inadequate breast-feeding. Journal of Health Hipernatrenia and Nutrition ; Breastfeeding and the use of human milk.

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

Financial support and sponsorship Nil. Hypernatremia and breast feeding. Table 2 Characteristics of cases of hypernatremia in breast-fed neonates admitted in the Neonatal Intensive Care Unit.

Na content of BM at birth is very high and declines rapidly over the subsequent days. The diagnosis is usually performed accidentally in cases of important weight loss in the newborn. Please review our privacy policy.

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Babies who were active and accepting feeds were continued on oral feeds and monitored. In our hospital, none of the babies had seizures either before or during the treatment.


Index of Suspicion in the Nursery. 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. While hypernatremia itself can cause seizure, seizures can itself occur during treatment, especially during fluid resuscitation. We analyzed records of babies admitted to the Neonatal Intensive Care Unit who were investigated and found to have hypernatremia and whose mother’s BM sodium BM Na was done.

Prevention and management of hypernatremic dehydration in breast-fed infants. Adequate BM intake depends on several interrelated stages such as normal mammary development mammogenesisnenatal initiation of lactation lactogenesissustained ongoing milk synthesis galactopoiesisand effective milk removal. In an otherwise healthy baby, poor feeding and weight loss could be a reason to suspect hypernatremia.