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We would like to make the following contribution to the topic raised by the interesting paper of Iyer et al1.
Hypernatraemic dehydration (HD) is a potentially serious complication in breastfed babies. It can lead to various complications such as vascular thrombosis, fits and disseminated intravascular coagulation.2 3 In our centre, we observed an increasing incidence of breastfed babies readmitted to hospital with weight loss >10% and HD. To confirm our observation, we conducted a retrospective audit from June 2005 to September 2006. During the audit period, the incidence of weight loss >10% was 49/4514 (1.1/100) live …
Competing interests: None.