| Yazarlar |
Musa Kazım Çağlar
|
Doç. Dr. Işıl ÖZER
Ondokuz Mayıs Üniversitesi, Türkiye |
|
Fatma Şemsa Çaycı
Sağlık Bilimleri Üniversitesi, Türkiye |
| Özet |
| Data were prospectively obtained from exclusively breast-fed healthy term neonates at birth and from healthy mothers with no obstetric complication to determine risk factors for excess weight loss and hypernatremia in exclusively breast-fed infants. Thirty-four neonates with a weight loss ≥10% were diagnosed between April 2001 and January 2005. Six of 18 infants who were eligible for the study had hypernatremia. Breast conditions associated with breast-feeding difficulties (P < 0.05), primiparity (P < 0.005), less than four stools (P < 0.001), pink diaper (P < 0.001), delay at initiation of first breast giving (P < 0.01), birth by cesarean section (P < 0.05), extra heater usage (P < 0.005), extra heater usage among mothers who had appropriate conditions associated with breast-feeding (P < 0.001), mean weight loss in neonates with pink diaper (P < 0.05), mean uric acid concentration in neonates with pink diaper (P < 0.0001), fever in hypernatrernic neonates (P < 0.02), and the correlation of weight loss with both serum sodium and uric acid concentrations (P < 0.02) were determined. Excessive weight loss occurs in exclusively breast-fed infants and can be complicated by hypernatremia and other morbidities. Prompt initiation of breast-feeding after delivery and prompt intervention if problems occur with breast-feeding, in particular poor breast attachment, breast engorgement, delayed breast milk "coming in", and nipple problems will help promote successful breast-feeding. Careful follow-up of breast-feeding dyads after discharge from hospital, especially regarding infant weight, is important to help detect inadequate breast-feeding. Environmental factors such as heaters may exacerbate infant dehydration. © 2006 Brazilian Journal of Medical and Biological Research. |
| Anahtar Kelimeler |
| Breast-feeding | Dehydration | Hypernatremia | Neonate | Weight loss |
| Makale Türü | Özgün Makale |
| Makale Alt Türü | SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale |
| Dergi Adı | BRAZILIAN JOURNAL OF MEDICAL AND BIOLOGICAL RESEARCH |
| Dergi ISSN | 0100-879X |
| Dergi Tarandığı Indeksler | SCI |
| Dergi Grubu | Q4 |
| Makale Dili | İngilizce |
| Basım Tarihi | 04-2006 |
| Cilt No | 39 |
| Sayı | 4 |
| Sayfalar | 539 / 544 |
| Doi Numarası | 10.1590/S0100-879X2006000400015 |
| Atıf Sayıları | |
| SCOPUS | 38 |
| Google Scholar | 108 |
