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Life threatening hypernatraemic dehydration in breast fed babies

Department of Paediatrics, Faculty of Medicine, Gaziosmanpaþa University, Tokat, Turkey; mkc@ttnet.net.tr

Keywords: hypernatraemia; dehydration; breast feeding

The first 150 words of the full text of this article appear below.

We have read with great interest the article by Shroff et al.¹ Weight loss up to an acceptable degree (<10%) is a physiological event unless a negative imbalance occurs between weight loss and milk production. We have recently shared our experiences related to risk factors for excess weight loss and hypernatraemia in exclusively breast fed infants.²

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 hypernatraemia in exclusively breast fed infants. Thirty four neonates with a weight loss >10% were diagnosed between April 2001 and January 2005. Six of 18 infants who were eligible for the study had hypernatraemia. Breast conditions associated with breast feeding difficulties (p < 0.05), primiparity (p < 0.005), less than four stools (p < 0.001), pink diaper (p < 0.001), delay at initiation . . . [Full text of this article]