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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Eur J Pediatr ; Hypernatremic dehydration has always been a problem in breast-fed infants and has had inadequate exposure in medical literature for several reasons. Rev Port Clin Geral ; Elevated BM Na is an important etiological factor in neonatal hypernatremia. Journal of Case Reports ; 1: The symptoms and signs of hypernatremia in neonates that we encountered were lethargy, irritability reduce urinary frequency, weight loss, fever, doughy skin.

Goff DA, Higinio V. Some researchers have found that babies were at risk of breastfeeding failure from the beginning because of the following neonafal Some complications, especially seizures, occur most frequently during treatment.


Neonatal hypernatremia is not as rare as is commonly believed. Vol 25 No 1 First, when dealing with sick neonate galactopoiesis failure can occur due to infrequent breast stimulation and drainage. Elevated BM Na thus appears to be the etiological factor in these cases.

Neonxtal milk removal was primarily associated with poor breastfeeding techniques i. None had convulsion at the time of presentation. Elsevier Health Sciences ; Schwaderer A, Schwartz G.

Clinical Practice Guidelines : Hypernatraemia

Those who were lethargic or showed signs of severe dehydration were managed according to the algorithm in Figure 1. Breast feeding-associated hypernatremic dehydration: D iscussion Hypernatremia due to high BM Na is an established entity.

Open in a separate window. Abstract Aims and Objectives: Babies were euglycemic, normocalcemic, and with septic screen negative but increased serum Na were included in this study. Rand SE, Kolberg A.

Hypernatremic dehydration in newborn infants

There can be compounding factors, including maternal and infant anatomical abnormalities that interfere with suckling dynamics. In our hospital, none of the babies had seizures either before or during the treatment. Adequate BM intake depends on several interrelated stages such as normal mammary development mammogenesisunimpeded initiation of lactation lactogenesissustained ongoing milk synthesis galactopoiesisand effective milk removal.


American Academy of Pediatrics Section on Breastfeeding. Dehydration in Infancy and Childhood. Hypernatremic dehydration in newborn infants. Babies who were active and accepting feeds were continued on oral feeds and monitored.

These neonates were referred from the postnatal care wards to the NICU for lethargy and poor feeding. Asia Pac J Clin Nutr ; 19; Neonatal hypernatremia is a serious condition in the newborn period. Prevention and management of hypernatremic dehydration in breast-fed infants.

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