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Iatrogenic newborn weight loss: knowledge translation using a study protocol for your maternity setting.

Joy Noel-Weiss1, A Kirsten Woodend, Dianne L Groll

  • 1School of Nursing, University of Ottawa, 451 Smyth Road, Ottawa, ON, K1H 8M5, Canada. Joy.Noel-Weiss@uottawa.ca.

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Maternal IV fluids correlate with increased newborn output and weight loss. This study offers a protocol for clinicians to assess iatrogenic newborn weight loss at their own maternity sites.

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Area of Science:

  • Neonatal Health
  • Clinical Research Methodology

Background:

  • Previous research identified positive correlations between maternal intravenous (IV) fluids, neonatal output, and newborn weight loss.
  • An increase in maternal IV fluid administration is associated with increased infant fluid excretion and subsequent weight reduction.

Purpose of the Study:

  • To provide a standardized protocol for clinicians to collect and analyze data on newborn weight changes.
  • To enable healthcare providers to assess potential iatrogenic (medically induced) weight loss in newborns at their specific maternity settings.

Main Methods:

  • Recommends a prospective observational study design.
  • Outlines specific methods for participant recruitment, data collection (maternal fluids, neonatal output, newborn weights), and data analysis.

Main Results:

  • Original study found positive correlations between maternal IV fluids, neonatal output, and newborn weight loss.
  • Suggests shifting the baseline for assessing newborn weight change from birth weight to a 24-hour measurement.

Conclusions:

  • Emphasizes the importance of quality assurance and research ethics in conducting such studies.
  • Offers practical insights from prior research to facilitate knowledge translation and research uptake.
  • Provides a protocol and guidance for implementing research on newborn weight loss in clinical settings.