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- Title
The Relationship Between Breastfeeding Frequency and Neonatal Dehydration Hypernatremia.
- Authors
Boskabadi, Hassan; Moradi, Ali; Ramezani, Asal; Zakerihamidi, Maryam
- Abstract
Objective: Inadequate breastfeeding is the most important cause of neonatal dehydration hypernatremia (NDH). This study aimed to define the relationship between breastfeeding frequency and NDH. Methods: A total of 934 infants (574 isonatremic and 360 with NDH) were enrolled in this cross-sectional study at Ghaem Hospital, Mashhad, Iran, in 2014–2022, assigned into low feeding frequency (<8 times/day) and proper feeding frequency (≥8 times/day) groups, and compared for NDH intensity according to a researcher-made questionnaire. Results: The admission age (p =.001) and weight (t (931) = 1.864, p =.063), urination frequency (t (931) = −8.742, p =.001), defecation frequency (t (931) = −5.372, p =.001), serum sodium (t (931) = 13.541, p =.001), urea (t (931) = 9.721, p =.001), and creatinine levels (t (931) = 7.613, p =.001) showed significant differences between the two groups. Interestingly, 56.27% of infants with NDH and only 10.28% of isonatremic infants had low feeding frequencies. Conclusions: Low feeding frequency and duration were associated with weight loss and increased serum sodium levels. A group of infants who had a feeding frequency of less than eight times a day, a history of cesarean delivery, breast problems, and a lack of let-down reflex was associated with an increased incidence of low weight; higher levels of serum sodium, urea, and creatinine; and reduced frequency of urination and stool passage.
- Subjects
IRAN; NONPARAMETRIC statistics; CROSS-sectional method; HYPERNATREMIA; PEARSON correlation (Statistics); T-test (Statistics); BREASTFEEDING; DEHYDRATION; QUESTIONNAIRES; WEIGHT loss; CHI-squared test; STATISTICAL sampling; DATA analysis software
- Publication
Clinical Lactation, 2024, Vol 15, Issue 1, p49
- ISSN
2158-0782
- Publication type
Article
- DOI
10.1891/CL-2023-0012