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- Title
Severe neonatal hypernatraemia: a population based study in Indian population.
- Authors
Bansal, Rupesh; Shrikhande, D. Y.; Bothra, Virat; Kumar, Anuj
- Abstract
BACKGROUND: Our aim was to describe incidence and short term outcomes of severe neonatal hypernatraemia (SNH, sodium ≥160 mmol/l). METHODS: This was a retrospective, population based surveillance observational study over 12 months duration. Cases were >33 weeks gestation at birth, fed breast or formula milk and <28 days of age at presentation selected on basis attending OPD with number of cases as 60. RESULTS: Of 60 cases of reported 28 mothers had intended to achieve exclusive breast feeding. Infants presented at median day 6 (range 2-17) with median weight loss of 19.5% (range 8.9-30.9). 12 had jaundice and 48 weight loss as a presenting feature. 42 presented with weight loss ≥15%. CONCLUSIONS: Neonatal hypernatraemia is strongly associated with weight loss. It occurs almost exclusively after attempts to initiate breast feeding, occurs uncommonly and does not appear to be associated with serious short term morbidities, beyond admission to hospital.
- Subjects
HYPERNATREMIA; DISEASE incidence; HEALTH outcome assessment; BREASTFEEDING; WEIGHT loss
- Publication
Indian Journal of Basic & Applied Medical Research, 2017, Vol 6, Issue 4, p267
- ISSN
2250-284X
- Publication type
Article