A review of 116 cases of breastfeeding-associated hypernatremia in rural area of central Turkey

Koklu E., Gunes T., Ozturk M. A., Kose M., Kurtoglu S., Yuksel F.

JOURNAL OF TROPICAL PEDIATRICS, vol.53, no.5, pp.347-350, 2007 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Review
  • Volume: 53 Issue: 5
  • Publication Date: 2007
  • Doi Number: 10.1093/tropej/fmm026
  • Journal Name: JOURNAL OF TROPICAL PEDIATRICS
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.347-350
  • Keywords: breastfeeding, hypernatremic dehydration, newborn
  • Erciyes University Affiliated: Yes

Abstract

We aimed to assess the incidence, neurologic and neurodevelopmental outcome of breastfeeding-associated hypernatremic dehydration among hospitalized neonates in rural area of central Turkey. A retrospective study was conducted at Gevher Nesibe Hospital over a 6-year period, to identify otherwise healthy term and near-term ( >= 35 weeks of gestation) breastfed neonates (< 29 days of age) who were admitted with serum sodium concentrations of > 150 mEq/l and no explanation for hypernatremia other than inadequate milk intake. The incidence of breastfeeding-associated hypernatremic dehydration among hospitalized term and near-term neonates (n = 5592) was 2.1%, occurring for 116 breastfed infants. More than one half of the infants admitted with breastfeeding-associated hypernatremia exhibited abnormal development at 12 or more months of age. Increased efforts are required to establish successful breastfeeding.