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EXCLUSIVELY BREASTFEEDING AND HYPERNATREMIC DEHYDRATION     
Yazarlar
Musa Kazım Çağlar
Fatma Şemsa Çaycı
Sağlık Bilimleri Üniversitesi, Türkiye
Doç. Dr. Işıl ÖZER
Ondokuz Mayıs Üniversitesi, Türkiye
Özet
There is no doubt that breast-feeding is the best and safest way of feeding infants. Physiological weight loss occurs in the first two or three days of life, and the achievement of birth weight is expected towards the end of the first week. Hypernatremic dehydration may occur in exclusively breast-fed infants if milk supply is low during these first few days. It is not because of the high sodium content in breast milk; it is because of insufficient lactation. That is, the main cause of hypernatremic dehydration is water deprivation. There are many causes for low milk intake. Since most causes are preventable or able to be improved, mothers, particularly first time mothers, should receive more reassurance and practical advice in the technique of breast-feeding. Before their discharge from the hospital, they should be educated about the associated features of unsuccessful breast-feeding, such as going to the breast infrequently or for short times, infrequent passage of urine and stool, jaundice, lethargy, irritability and fever. Late diagnosis may cause catastrophic outcomes, such as a variety of palsies, apnea, bradycardia, seizures, hypertension, disseminated intravascular coagulation, necrotising enterocolitis after establishing full oral feeds, amputation of an extremity secondary to arterial thrombus, multiple cerebral infarctions, intracranial hemorrhages, massive intra ventricular hemorrhage, multiple dural thromboses. If babies are weighed on the day of the Guthrie test, those in the early onset of a disease and those who could not achieve their birth weight can be easily identified. The latter should be closely followed.
Anahtar Kelimeler
Breast milk | Breastfeeding | Dehydration | Electrolyte imbalance | Hypernatremia
Makale Türü Diğer (Teknik, not, yorum, vaka takdimi, editöre mektup, özet, kitap krıtiği, araştırma notu, bilirkişi raporu ve benzeri)
Makale Alt Türü SCI, SSCI, AHCI, SCI-Exp dergilerinde yayımlanan teknik not, editöre mektup, tartışma, vaka takdimi ve özet türünden makale
Dergi Adı Iranian Journal of Public Health
Dergi ISSN 2251-6085
Dergi Tarandığı Indeksler SSCI
Makale Dili İngilizce
Basım Tarihi 01-2005
Cilt No 34
Sayı 3
Sayfalar 1 / 11
BM Sürdürülebilir Kalkınma Amaçları
Atıf Sayıları
SCOPUS 6
Google Scholar 10

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