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Physiological weight loss chart helps to identify high-risk infants who need breastfeeding support

Giovanna Bertini1, Rita Breschi1, Carlo Dani1

  • 1Division of Neonatology, FARBA Department, Careggi University Hospital, Florence, Italy.

Acta Paediatrica (Oslo, Norway : 1992)
|October 7, 2014
PubMed

Insights

This study developed a neonatal weight loss chart for healthy, exclusively breastfed infants. The chart helps identify infants needing breastfeeding support by defining physiological weight loss within the first 72 hours.

Area of Science:

  • Neonatal care
  • Pediatric nutrition
  • Lactation studies

Background:

  • Neonatal weight loss is expected, but physiological limits are debated.
  • Evidence-based data on neonatal weight loss is lacking.
  • Accurate assessment is crucial for identifying infants needing breastfeeding support.

Purpose of the Study:

  • To create a centile chart for neonatal weight loss.
  • To establish evidence-based data for physiological weight loss in healthy, term, exclusively breastfed infants.
  • To provide a tool for identifying infants at risk.

Main Methods:

  • Retrospective study of 1760 infants born at an Italian natural childbirth center (April 2007-December 2012).
  • Infants exclusively breastfed and meeting WHO feeding guidelines were included.
  • Weight loss was recorded at 12, 24, 36, 48, 60, and 72 hours of life.

Main Results:

  • Mean weight loss was 5.95 ± 1.73%.
  • 72.2% of infants reached maximal weight loss before discharge.
  • Only 3.9% lost more than 9% of birthweight; none lost over 10%.

Conclusions:

  • A normative chart for physiological neonatal weight loss was established.
  • The chart serves as a vital tool for identifying high-risk infants.
  • Early identification facilitates timely and appropriate breastfeeding support.
Abstract

Keywords:
BreastfeedingGrowth chartsNewbornWeight loss

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