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Hypernatremic Dehydration in Breastfed Term Infants: Retrospective Evaluation of 159 Cases

Elif Ünver Korğalı1, Meriç Kaymak Cihan2, Tahir Oğuzalp3

  • 11 Department of Pediatrics, Cumhuriyet University Faculty of Medicine , Sivas, Turkey .

Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine
|December 20, 2016
PubMed

Insights

Hypernatremic dehydration (HD) in breastfed infants is linked to fever and oral dryness. Prompt treatment is crucial to prevent severe complications in newborns.

Area of Science:

  • Neonatology
  • Pediatrics
  • Public Health

Background:

  • Hypernatremic dehydration (HD) is a serious condition in term breastfed infants.
  • Understanding its frequency, risk factors, and complications is vital for prevention and management.

Purpose of the Study:

  • To determine the incidence, clinical presentation, risk factors, and complications of HD in term breastfed infants.
  • To explore preventive strategies for hypernatremic dehydration.

Main Methods:

  • Retrospective analysis of 159 term breastfed infants hospitalized for HD between 2009-2014.
  • Infants were categorized into two groups based on serum sodium (Na) levels: Group 1 (146-149 mEq/L) and Group 2 (≥150 mEq/L).

Main Results:

  • Fever (67.9%) and oral mucosal dryness (76%) were the most common presenting complaints and findings.
  • Higher serum Na levels correlated with increased weight loss, longer hospital stays, and higher body temperature.
  • Group 2 infants experienced a longer Na normalization period and higher incidence of bradycardia.

Conclusions:

  • Hypernatremic dehydration is a significant neonatal condition requiring appropriate and timely treatment.
  • Early recognition and intervention are essential to mitigate potential serious complications in affected infants.
Abstract

Keywords:
impact on infant/developmentinfant diseases

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