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Dehydration and hypernatremia in breast-fed term healthy neonates
Swarna Rekha Bhat1, Patricia Lewis, Angela David
1Department of Pediatrics, St John's Medical College, Bangalore, India. srekha74@rediffmail.com
Objective:
The aim of the study was to determine the incidence of significant weight loss, dehydration, hypernatremia and hyperbilirubinemia in exclusively breast-fed term healthy neonates and compare the incidence of these problems in the warm and cool months.
Methods:
During the study period 496 neonates were recruited.
Results:
157 neonates (31.6%) had significant weight loss (> 10 % cumulative weight loss or per day weight loss > 5%). Clinical dehydration was present in 2.2% of neonates. Of these 157 neonates, 31.8% had hypernatremia and 28 % had hyperbilirubinemia.
Conclusion:
The incidence of the above mentioned problems were higher in the warm months but the difference was not statistically significant.
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