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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Nelson Textbook of Pediatrics. BM sodium BM Na of mothers of such infants was also done when neonatal hypernatremia was detected. Elevated BM Na thus appears to be the etiological factor in these cases.
Clinical Practice Guidelines : Hypernatraemia
Hypernatremic dehydration in term and near-term neonates. J Paediatr Child Health ; In our hospital, none of the babies had seizures either before or during the treatment. Serum Na was elevated in otherwise healthy newborns, and BM Na was significantly and persistently elevated in all four cases.
BM of mothers of neonates with increased serum Na who were exclusively breast-fed and no risk factor for hypernatremia indicates hipsrnatremia BM was the source of Na load. Monitoring the mother and baby in the 1 st week of life for successful establishment of breastfeeding is essential. In none of the babies was BM with-held.
Breastfeed still remains crucially beneficial to baby and should be strongly advocated. Gouveia C, Adelaide O. Neonatal hypernatremia is not as rare as is commonly believed. Disorders of Water Metabolism in Children: Hypernatremia occurred frequently erstwhile when infant formula with high sodium concentration were given to neonates.
The practitioners should continue to recommend breastfeeding as the best method of nourishing healthy infants. Rev Port Clin Geral ; The first signs of neonatal dehydration include the failure to have bowel movements or the presence of urate crystals, combined with weight loss. Neonatal hypernatremia is a potentially lethal condition and is associated with cerebral edema, intracranial hemorrhage, hydrocephalus, and gangrene.
Goff DA, Higinio V. Current Understanding and Management. Hypernatremia due to high BM Na is an established entity. Am J Forensic Med Pathol. Copyright and access 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. Babies who were active and accepting feeds were continued on oral feeds and monitored.
Evaluation of neonatal hypernatremia and hypernatremic dehydration in neonates receiving exclusive breastfeeding. This was a retrospective study.
First, when dealing with sick neonate galactopoiesis failure can gipernatremia due to infrequent breast stimulation and drainage. This is related to inadequate prolactin surges and a buildup of local inhibitory factors in the milk.
Moderate hypernatremic dehydration in newborn infants: retrospective evaluation of 64 cases.
Indian J Pediatr ; In an otherwise healthy baby, poor feeding and weight loss could be a nenatal to suspect hypernatremia. I ntroduction Neonatal hypernatremia is a potentially lethal condition and is associated with cerebral edema, intracranial hemorrhage, hydrocephalus, and gangrene. They were thoroughly evaluated for sepsis, hypoglycemia, hypocalcemia, and serum electrolytes.
The level of Na in the serum of babies as well hkpernatremia in the BM returned to normal. The Harriet Lane Handbook.
Fatal hypernatremic dehydration in exclusively breast-fed newborn infants due to maternal lactation failure. BM Na correlated strongly with neonatal hypernatremia in exclusive breast-fed babies who did not otherwise have any risk factor.
Those who were lethargic or showed signs of severe dehydration were managed according to the algorithm in Figure 1. Breast milk sodium, exclusive breastfeeding, neonatal hypernatremia. Asia Pac J Clin Nutr ; 19; Brain volume regulation in response to changes in osmolality.
C onclusion Neonatal hypernatremia is not as rare as is commonly believed. Pediatr Neonatol ;