Charts for Weight Loss to Detect Hypernatremic Dehydration and Prevent Formula Supplementing

Background Most breast‐fed newborns get the milk they need. However, very rarely milk intake is insufficient mostly as a result of poor breastfeeding techniques. Dramatic weight loss and hypernatremic dehydration may occur. Our aim was to construct charts for weight loss. Methods A case–control stud...

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Veröffentlicht in:Birth (Berkeley, Calif.) Calif.), 2014-06, Vol.41 (2), p.153-159
Hauptverfasser: van Dommelen, Paula, Boer, Suzanne, Unal, Sevim, van Wouwe, Jacobus P.
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container_end_page 159
container_issue 2
container_start_page 153
container_title Birth (Berkeley, Calif.)
container_volume 41
creator van Dommelen, Paula
Boer, Suzanne
Unal, Sevim
van Wouwe, Jacobus P.
description Background Most breast‐fed newborns get the milk they need. However, very rarely milk intake is insufficient mostly as a result of poor breastfeeding techniques. Dramatic weight loss and hypernatremic dehydration may occur. Our aim was to construct charts for weight loss. Methods A case–control study was performed. Charts with standard deviation score (SDS) lines for weight loss in the first month were constructed for 2,359 healthy breast‐fed term newborns and 271 cases with breastfeeding‐associated hypernatremic dehydration with serum sodium level > 149 mEq/L. Day 0 was defined as the day of birth. Results Many cases with (or who will develop) hypernatremic dehydration (84%; +1 SDS line) fell below the −1 SDS line at day 3, the −2 SDS line at day 4, and the −2.5 SDS line at day 5 in the chart of the healthy breast‐fed newborns. Weight loss of cases with permanent residual symptoms was far below the −2.5 SDS. Conclusions Already at an early age, weight loss differs between healthy breast‐fed newborns and those with hypernatremic dehydration. Charts for weight loss are, therefore, useful tools to detect early, or prevent newborns from developing, breastfeeding‐associated hypernatremic dehydration, and also to prevent unnecessary formula supplementing.
doi_str_mv 10.1111/birt.12105
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However, very rarely milk intake is insufficient mostly as a result of poor breastfeeding techniques. Dramatic weight loss and hypernatremic dehydration may occur. Our aim was to construct charts for weight loss. Methods A case–control study was performed. Charts with standard deviation score (SDS) lines for weight loss in the first month were constructed for 2,359 healthy breast‐fed term newborns and 271 cases with breastfeeding‐associated hypernatremic dehydration with serum sodium level &gt; 149 mEq/L. Day 0 was defined as the day of birth. Results Many cases with (or who will develop) hypernatremic dehydration (84%; +1 SDS line) fell below the −1 SDS line at day 3, the −2 SDS line at day 4, and the −2.5 SDS line at day 5 in the chart of the healthy breast‐fed newborns. Weight loss of cases with permanent residual symptoms was far below the −2.5 SDS. Conclusions Already at an early age, weight loss differs between healthy breast‐fed newborns and those with hypernatremic dehydration. Charts for weight loss are, therefore, useful tools to detect early, or prevent newborns from developing, breastfeeding‐associated hypernatremic dehydration, and also to prevent unnecessary formula supplementing.</description><identifier>ISSN: 0730-7659</identifier><identifier>EISSN: 1523-536X</identifier><identifier>DOI: 10.1111/birt.12105</identifier><identifier>PMID: 24698284</identifier><identifier>CODEN: BRTHDD</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Baby foods ; Biomarkers - blood ; Breast Feeding - adverse effects ; Breastfeeding ; Case-Control Studies ; Dehydration ; Dehydration - blood ; Dehydration - diagnosis ; Dehydration - etiology ; Deviation ; Female ; growth ; Growth Charts ; Humans ; Hypernatremia - blood ; Hypernatremia - complications ; Hypernatremia - diagnosis ; Infant Formula ; Infant, Newborn ; Linear Models ; Male ; Milk ; Newborn babies ; Retrospective Studies ; Sodium - blood ; Standard deviation ; Weight control ; Weight Loss</subject><ispartof>Birth (Berkeley, Calif.), 2014-06, Vol.41 (2), p.153-159</ispartof><rights>2014 Wiley Periodicals, Inc.</rights><rights>Copyright Blackwell Publishing Ltd. 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However, very rarely milk intake is insufficient mostly as a result of poor breastfeeding techniques. Dramatic weight loss and hypernatremic dehydration may occur. Our aim was to construct charts for weight loss. Methods A case–control study was performed. Charts with standard deviation score (SDS) lines for weight loss in the first month were constructed for 2,359 healthy breast‐fed term newborns and 271 cases with breastfeeding‐associated hypernatremic dehydration with serum sodium level &gt; 149 mEq/L. Day 0 was defined as the day of birth. Results Many cases with (or who will develop) hypernatremic dehydration (84%; +1 SDS line) fell below the −1 SDS line at day 3, the −2 SDS line at day 4, and the −2.5 SDS line at day 5 in the chart of the healthy breast‐fed newborns. Weight loss of cases with permanent residual symptoms was far below the −2.5 SDS. Conclusions Already at an early age, weight loss differs between healthy breast‐fed newborns and those with hypernatremic dehydration. Charts for weight loss are, therefore, useful tools to detect early, or prevent newborns from developing, breastfeeding‐associated hypernatremic dehydration, and also to prevent unnecessary formula supplementing.</description><subject>Baby foods</subject><subject>Biomarkers - blood</subject><subject>Breast Feeding - adverse effects</subject><subject>Breastfeeding</subject><subject>Case-Control Studies</subject><subject>Dehydration</subject><subject>Dehydration - blood</subject><subject>Dehydration - diagnosis</subject><subject>Dehydration - etiology</subject><subject>Deviation</subject><subject>Female</subject><subject>growth</subject><subject>Growth Charts</subject><subject>Humans</subject><subject>Hypernatremia - blood</subject><subject>Hypernatremia - complications</subject><subject>Hypernatremia - diagnosis</subject><subject>Infant Formula</subject><subject>Infant, Newborn</subject><subject>Linear Models</subject><subject>Male</subject><subject>Milk</subject><subject>Newborn babies</subject><subject>Retrospective Studies</subject><subject>Sodium - blood</subject><subject>Standard deviation</subject><subject>Weight control</subject><subject>Weight Loss</subject><issn>0730-7659</issn><issn>1523-536X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqN0ctu1DAUBmALUdGhsOEBkCU2CCnF98RLOqUXNAJEC4MqJMtxTjopudV2gHn7epi2Cxao3lg6-s6_OD9CLyjZp-m9LRsf9ymjRD5CMyoZzyRX3x-jGck5yXIl9S56GsIVISQXQj1Bu0woXbBCzNCP-cr6GHA9eLyE5nIV8WIIAccBH0IEF_HJegTf2-iha1wartaVt7EZemz7Cn_28Av6iI8G302txWfTOLbQpVHTXz5DO7VtAzy__ffQ16P35_OTbPHp-HT-bpE5oajMqAUogepaO1cSVUgNhElBZc00K0XlGMlZzZR2luXcMahJUVqquWBQsorxPfR6mzv64XqCEE3XBAdta3sYpmCoTEfJVUHVA6iguiBC6gdQVnCupKSJvvqHXg1TOlq7UVxwRlmRJ_Vmq5xPJ_ZQm9E3nfVrQ4nZNGk2TZq_TSb88jZyKjuo7ulddQnQLfjdtLD-T5Q5OP1yfheabXeaEOHP_Y71P43KeS7N8uOxOWDLb2cXHy7Mkt8AfPu24A</recordid><startdate>201406</startdate><enddate>201406</enddate><creator>van Dommelen, Paula</creator><creator>Boer, Suzanne</creator><creator>Unal, Sevim</creator><creator>van Wouwe, Jacobus P.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201406</creationdate><title>Charts for Weight Loss to Detect Hypernatremic Dehydration and Prevent Formula Supplementing</title><author>van Dommelen, Paula ; Boer, Suzanne ; Unal, Sevim ; van Wouwe, Jacobus P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4615-1aeebe19f9ccb06859e025415f292b4dc2072f269ca273c2ef08ba19342eb2d23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Baby foods</topic><topic>Biomarkers - blood</topic><topic>Breast Feeding - adverse effects</topic><topic>Breastfeeding</topic><topic>Case-Control Studies</topic><topic>Dehydration</topic><topic>Dehydration - blood</topic><topic>Dehydration - diagnosis</topic><topic>Dehydration - etiology</topic><topic>Deviation</topic><topic>Female</topic><topic>growth</topic><topic>Growth Charts</topic><topic>Humans</topic><topic>Hypernatremia - blood</topic><topic>Hypernatremia - complications</topic><topic>Hypernatremia - diagnosis</topic><topic>Infant Formula</topic><topic>Infant, Newborn</topic><topic>Linear Models</topic><topic>Male</topic><topic>Milk</topic><topic>Newborn babies</topic><topic>Retrospective Studies</topic><topic>Sodium - blood</topic><topic>Standard deviation</topic><topic>Weight control</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van Dommelen, Paula</creatorcontrib><creatorcontrib>Boer, Suzanne</creatorcontrib><creatorcontrib>Unal, Sevim</creatorcontrib><creatorcontrib>van Wouwe, Jacobus P.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; 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However, very rarely milk intake is insufficient mostly as a result of poor breastfeeding techniques. Dramatic weight loss and hypernatremic dehydration may occur. Our aim was to construct charts for weight loss. Methods A case–control study was performed. Charts with standard deviation score (SDS) lines for weight loss in the first month were constructed for 2,359 healthy breast‐fed term newborns and 271 cases with breastfeeding‐associated hypernatremic dehydration with serum sodium level &gt; 149 mEq/L. Day 0 was defined as the day of birth. Results Many cases with (or who will develop) hypernatremic dehydration (84%; +1 SDS line) fell below the −1 SDS line at day 3, the −2 SDS line at day 4, and the −2.5 SDS line at day 5 in the chart of the healthy breast‐fed newborns. Weight loss of cases with permanent residual symptoms was far below the −2.5 SDS. Conclusions Already at an early age, weight loss differs between healthy breast‐fed newborns and those with hypernatremic dehydration. Charts for weight loss are, therefore, useful tools to detect early, or prevent newborns from developing, breastfeeding‐associated hypernatremic dehydration, and also to prevent unnecessary formula supplementing.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>24698284</pmid><doi>10.1111/birt.12105</doi><tpages>7</tpages></addata></record>
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source Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Baby foods
Biomarkers - blood
Breast Feeding - adverse effects
Breastfeeding
Case-Control Studies
Dehydration
Dehydration - blood
Dehydration - diagnosis
Dehydration - etiology
Deviation
Female
growth
Growth Charts
Humans
Hypernatremia - blood
Hypernatremia - complications
Hypernatremia - diagnosis
Infant Formula
Infant, Newborn
Linear Models
Male
Milk
Newborn babies
Retrospective Studies
Sodium - blood
Standard deviation
Weight control
Weight Loss
title Charts for Weight Loss to Detect Hypernatremic Dehydration and Prevent Formula Supplementing
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