Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 21 , ISSUE 1 ( 2017 ) > List of Articles

BRIEF COMMUNICATION

Hypernatremia in the neonate: Neonatal hypernatremia and hypernatremic dehydration in neonates receiving exclusive breastfeeding

Nilofer Mujawar, Archana Jaiswal

Keywords : Breast milk sodium, exclusive breastfeeding, neonatal hypernatremia

Citation Information : Mujawar N, Jaiswal A. Hypernatremia in the neonate: Neonatal hypernatremia and hypernatremic dehydration in neonates receiving exclusive breastfeeding. Indian J Crit Care Med 2017; 21 (1):30-33.

DOI: 10.4103/0972-5229.198323

License: CC BY-ND 3.0

Published Online: 00-01-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aims and Objectives: Evaluation of neonatal hypernatremia and hypernatremic dehydration in neonates receiving exclusive breastfeeding. Introduction: Neonatal hypernatremia is a serious condition in the newborn period. We present infants with hypernatremic dehydration due to breast milk (BM) hypernatremia. Hypernatremic dehydration in breast-fed newborns is usually secondary to insufficient lactation. We present the neonatal hypernatremia and hypernatremic dehydration encountered between January and December, 2012, its causes and treatment. Methodology: This was a retrospective study. We analyzed records of babies admitted to the Neonatal Intensive Care Unit who were investigated and found to have hypernatremia and whose mother′s BM sodium (BM Na) was done. Inclusion Criteria: (1) Babies with serum Na >145 meq/l, (2) euglycemia, (3) normocalcemic, (4) no clinical and lab evidence of sepsis, (5) exclusive breast feeds. Exclusion Criteria: Neonates not satisfying any mentioned criterion. Results: BM Na correlated strongly with neonatal hypernatremia in exclusively breast-fed babies who did not otherwise have any risk factor. Conclusion: Elevated BM Na is an important etiological factor in neonatal hypernatremia.


PDF Share
  1. Kaplan JA, Siegler RW, Schmunk GA. Fatal hypernatremic dehydration in exclusively breast-fed newborn infants due to maternal lactation failure. Am J Forensic Med Pathol 1998;19:19-22.
  2. Clarke TA, Markarian M, Griswold W, Mendoza S. Hypernatremic dehydration resulting from inadequate breast-feeding. Pediatrics 1979;63:931-2.
  3. Rowland TW, Zori RT, Lafleur WR, Reiter EO. Malnutrition and hypernatremic dehydration in breast-fed infants. JAMA 1982;247:1016-7.
  4. Hauser GJ, Kulick AF. Electrolytes disorders in Pediatric Intensive Care Unit. In: Wheeler DS, editor. Pediatric Critical Care Medicine. 1 st ed. USA: Springer; 2007. p. 1161-3.
  5. Roddey OF Jr., Martin ES, Swetenburg RL. Critical weight loss and malnutrition in breast-fed infants. Am J Dis Child 1981;135:597-9.
  6. Marino R, Gourji S, Rosenfeld W. Neonatal metabolic casebook. Hypernatremia and breast feeding. J Perinatol 1989;9:451-3.
  7. Koo WW, Gupta JM. Breast milk sodium. Arch Dis Child 1982;57:500-2.
  8. Livingstone VH. Problem-solving formula for failure to thrive in breast-fed infants. Can Fam Physician 1990;36:1541-5.
  9. Laing IA. Hypernatremic dehydration in newborn infants. Acta Pharmacol Sin 2002;23 Supplement:48-51.
  10. Greenbaum LA. Electrolytes and acid base disorders. In: Kliegman RM, editor. Nelson Textbook of Pediatrics. 19 th ed. Philadelphia: Elsevier; 2011. p. 212-3, 248.
  11. Choukair MK. Fluids and electrolytes. In: Siberry GK, editor. The Harriet Lane Handbook. 15 th ed. London: Mosby Publishers; 2000. p. 232-3.
  12. Chilton LA. Prevention and management of hypernatremic dehydration in breast-fed infants. West J Med 1995;163:74-6.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.