[Neonatal hypernatraemic dehydration--why increasing incidence?].
In: Ugeskrift for laeger, Jg. 169 (2007-03-26), Heft 13, S. 1227
academicJournal
Zugriff:
Introduction: Neonatal dehydration with hypernatraemia is a serious condition with risk of cerebral damage and death. Recent studies have reported a rising incidence.
Materials and Methods: A retrospective study was conducted at Hvidovre Hospital over a 5-year period to identify term or near-term infants (>35 weeks of gestation) who were admitted with a weight-loss >10%. Infants admitted between the 3rd and the 14th day of life with a discharge diagnosis code indicating dehydration were also included.
Results: During the period a total of 89 infants were admitted and 24 had hypernatraemia. The incidence increased from 2.1 to 4.9 (RR 2,5-p >0.0008). All infants were breastfed and only 3 had had supplementation prior to admission. The weight-loss ranged between 270 and 1100 grams (equivalent to 10.1-29.7% reduction in birth weight) while lethargy and jaundice were frequent symptoms. Cerebral complications occurred for 8 infants and 2 developed permanent brain damage.
Conclusions: Breastfeeding should be encouraged but supplementation may be necessary for some infants. Infants born to primiparous women, infants heavy for gestational age and infants who do not thrive on day 4-5 appear to have a high risk. These infants could be identified by regular weighing and, if necessary, supplementation and follow-up should be instituted.
Titel: |
[Neonatal hypernatraemic dehydration--why increasing incidence?].
|
---|---|
Autor/in / Beteiligte Person: | Reilev, M ; Børch, K ; Pryds, OA |
Zeitschrift: | Ugeskrift for laeger, Jg. 169 (2007-03-26), Heft 13, S. 1227 |
Veröffentlichung: | Copenhagen : Den Alm Danske Laegerforening, 2007 |
Medientyp: | academicJournal |
ISSN: | 1603-6824 (electronic) |
Schlagwort: |
|
Sonstiges: |
|