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Journal of Tropical Pediatrics Advance Access published online on May 12, 2007
Journal of Tropical Pediatrics, doi:10.1093/tropej/fmm026
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© The Author [2007]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Brief Report

A Review of 116 Cases of Breastfeeding-Associated Hypernatremia in Rural Area of Central Turkey

Esad Koklu, Tamer Gunes, Mehmet Adnan Ozturk, Mehmet Kose, Selim Kurtoglu and Fatih Yuksel

Department of Paediatrics, Division of Neonatology, School of Medicine, Erciyes University, Kayseri, 38039, Turkey

Correspondence: Esad Koklu, Erciyes University, School Medicine, Department of Paediatrics, Division of Neonatology, 38039 Kayseri, Turkey. Tel: +90 352 4374937, Fax: +90 352 4375825. E-mail < esad{at}erciyes.edu.tr>.


  Abstract

We aimed to assess the incidence, neurologic and neurodevelopmental outcome of breastfeeding-associated hypernatremic dehydration among hospitalized neonates in rural area of central Turkey. A retrospective study was conducted at Gevher Nesibe Hospital over a 6-year period, to identify otherwise healthy term and near-term (≥ 35 weeks of gestation) breastfed neonates (<29 days of age) who were admitted with serum sodium concentrations of >150 mEq/l and no explanation for hypernatremia other than inadequate milk intake. The incidence of breastfeeding-associated hypernatremic dehydration among hospitalized term and near-term neonates (n = 5592) was 2.1%, occurring for 116 breastfed infants. More than one half of the infants admitted with breastfeeding-associated hypernatremia exhibited abnormal development at 12 or more months of age. Increased efforts are required to establish successful breastfeeding.

Key Words: breastfeeding • hypernatremic dehydration • newborn


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