Hipernatremia neonatal: factores de riesgo Hypernatremic dehydration: risk factors. Neonatal hypernatremia is a serious condition in the newborn period. We present infants with hypernatremic dehydration due to breast milk (BM) hypernatremia. J Matern Fetal Neonatal Med. Jun;20(6) Moderate hypernatremic dehydration in newborn infants: retrospective evaluation of 64 cases. Uras N(1).

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Table 1 Definition of hypernatremia: Arch Dis Child ; Electrolytes and acid base disorders.

They were thoroughly evaluated for sepsis, hypoglycemia, hypocalcemia, and serum electrolytes. Today, the most common cause of hypernatremic dehydration in the healthy term newborn is the low volume intake of breast milk.

Nevertheless, from tothere were sporadic reports of hypernatremia dehydration occurring in breast-fed babies.

Clinical Practice Guidelines : Hypernatraemia

Hence, hypernatremic dehydration should be rehydrated slowly. Pediatric Critical Care Medicine. Mothers whose BM Na was not done at the time of neonatal hypernatremia were excluded.

In none of the babies was BM with-held. Management Babies who were active and accepting feeds were continued on oral feeds hipernatremis monitored. There are very few protocols for intravenous rehydration. Na content of BM at birth is very high and declines rapidly over the subsequent days.

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BM Na of the mother’s milk was also done. Malnutrition and hypernatremic dehydration in breast-fed infants. Breast feeding-associated hypernatremic dehydration: This journal offers immediate free access to its content, following the principle that providing free scientific knowledge to the public provides greater global democratization of knowledge.


The hourly maintenance fluid was calculated in addition to the above-calculated deficiency. Am J Dis Child.

Elevated BM Na thus appears to be the etiological factor in these cases. Macy has studied the breast milk Na values on various days. Hiperbatremia Harriet Lane Handbook. Other clinical manifestations, when present, are usually nonspecific, with prevalence of neurologic symptoms that yipernatremia intracellular dehydration.

Hypernatremic dehydration due to concentrated infant formula: BM of mothers of neonates with increased serum Na who were exclusively breast-fed and no risk factor for hypernatremia indicates that BM was the source of Na load.

Adequate BM intake depends on several interrelated stages such as normal mammary development mammogenesisunimpeded initiation of lactation lactogenesissustained ongoing milk synthesis galactopoiesisand effective milk removal.

Those who were lethargic or showed signs of severe dehydration were managed according to the algorithm in Figure 1. Hypernatremic dehydration resulting from inadequate breast-feeding. Hypernatremia occurred frequently erstwhile when infant formula with high sodium concentration were given to neonates.

Nascer e Crescer — Birth and Growth Medical Journal do not charge any submission or processing fee to the articles submitted. Monitoring of newborn weight, breast feeding and severe neurological sequelae secondary to dehydration. Low birth weight, early breastfeeding difficulties. Schwaderer A, Schwartz G. Milk removal depends on effective maternal and infant breastfeeding techniques, combined with an intact milk-ejection reflex, and total daily milk intake depends on the frequency and duration of feeds.


Some researchers have found that babies were at risk of breastfeeding failure from the beginning because of the following factors: Breastfeed still remains crucially beneficial to baby and should be strongly advocated.

BM sodium BM Na of mothers of such infants was also done when neonatal hypernatremia was detected. Pediatrics in Review ; Neonatal hypernatremia is not as rare as is commonly believed. Copyright and access This journal offers immediate free access to hiperatremia content, following the principle that providing hiipernatremia scientific knowledge to the public provides greater global democratization of knowledge. A preventable tragedy in newborn infants. The results are depicted in Table 2. Another study from Italy reported that during the 1 st day of life, 7.


BM Na correlated strongly with neonatal hypernatremia in exclusive breast-fed babies who did not otherwise have any risk factor. Breastfeeding and the use of human milk.

Conflicts of interest There are no conflicts of interest. Electrolyte and acid-base disorders.