To study significant weight loss and it’s association with hypernatremia in exclusively breastfed full term normal birth weight neonates born in Tertiary Care Hospital
Journal Title: International Journal of Medical and Health Research - Year 2017, Vol 3, Issue 11
Abstract
Background: Fullterm neonates lose less than 10% of birth weight during initial 7-10 day of life. As the practice of exclusive breastfeeding is increasing, the incidence of hypernatremia is also increasingly reported. It has been observed that in case of hypernatremia, a neonate commonly loses more than 10% birth weight. Aim: To study the correlation of significant weight loss and hypernatremia in exclusively breastfed full term normal birth weight neonates born in tertiary care hospital. Methods: This study was conducted in maternity and opd patient of tertiary care hospital, Karad between November 2012 and May 2014. 200 eligible neonate enrolled in study. Assessment of neonates was done taking detailed maternal and perinatal history. Body weight, percent weight loss was recorded on 3rd and 5th day of life. Blood samples were collected on 3rd and 5th day of life for biochemical estimation including serum sodium levels. Results: On 3rd day of life incidence of significant weight loss (>10 %) found in 18 neonates (9 %) and out of these 9 neonate (50%) were hypernatremic. And on 5th DOL, incidence of significant weight loss (>10 %) was found in 24 neonates (12 %) and out of these 6 neonate (25%) with birth weight more than 3 kgs were hypernatremic. Conclusion: There is a significant correlation between significant weight loss and hypernatremia in exclusively breastfed full term male neonates on 3rd and 5th day of life with birth weight more than 3 kg.
Authors and Affiliations
Dr. Girish Ganesh Joag, Dr. Deepak Jeswani, Dr. Mayank Jain
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