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 |
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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 |
format | Article |
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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.</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. Jun 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4615-1aeebe19f9ccb06859e025415f292b4dc2072f269ca273c2ef08ba19342eb2d23</citedby><cites>FETCH-LOGICAL-c4615-1aeebe19f9ccb06859e025415f292b4dc2072f269ca273c2ef08ba19342eb2d23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fbirt.12105$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fbirt.12105$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,30976,30977,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24698284$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van Dommelen, Paula</creatorcontrib><creatorcontrib>Boer, Suzanne</creatorcontrib><creatorcontrib>Unal, Sevim</creatorcontrib><creatorcontrib>van Wouwe, Jacobus P.</creatorcontrib><title>Charts for Weight Loss to Detect Hypernatremic Dehydration and Prevent Formula Supplementing</title><title>Birth (Berkeley, Calif.)</title><addtitle>Birth</addtitle><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.</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 & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Birth (Berkeley, Calif.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van Dommelen, Paula</au><au>Boer, Suzanne</au><au>Unal, Sevim</au><au>van Wouwe, Jacobus P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Charts for Weight Loss to Detect Hypernatremic Dehydration and Prevent Formula Supplementing</atitle><jtitle>Birth (Berkeley, Calif.)</jtitle><addtitle>Birth</addtitle><date>2014-06</date><risdate>2014</risdate><volume>41</volume><issue>2</issue><spage>153</spage><epage>159</epage><pages>153-159</pages><issn>0730-7659</issn><eissn>1523-536X</eissn><coden>BRTHDD</coden><abstract>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.</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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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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