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Weight loss monitoring reduces the occurrence of neonatal hypernatremic dehydration in breastfeeding neonates
BACKGROUND: Excessive weight loss enhances the incidence of neonatal hypernatremic dehydration (NHD). We compared the effect of a new breastfeeding policy against an old breastfeeding policy on neonatal weight change and the incidence of NHD. METHODS: This was a QA project between two sets of breast...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
King Faisal Specialist Hospital and Research Centre
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9072242/ https://www.ncbi.nlm.nih.gov/pubmed/35573072 http://dx.doi.org/10.1016/j.ijpam.2021.02.004 |
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author | Zia, Muhammad TK. Golombek, Sergio Nitkowski-Keever, Sabrina Paudel, Umesh |
author_facet | Zia, Muhammad TK. Golombek, Sergio Nitkowski-Keever, Sabrina Paudel, Umesh |
author_sort | Zia, Muhammad TK. |
collection | PubMed |
description | BACKGROUND: Excessive weight loss enhances the incidence of neonatal hypernatremic dehydration (NHD). We compared the effect of a new breastfeeding policy against an old breastfeeding policy on neonatal weight change and the incidence of NHD. METHODS: This was a QA project between two sets of breastfeeding (BF) protocols for exclusively BF newborns. Under our old BF policy, a number of neonates had a significant loss of weight after birth and were admitted to the NICU due to NHD. We implemented a new BF policy that was used when a newborn loses>5% of previously recorded weight within a 24-h interval. Two groups were compared: the preintervention group (old BF policy) and postintervention group (new BF policy). Additionally, characteristics of newborns admitted to NICU were separately compared with the subgroup of pre- and post intervention dehydration groups. RESULTS: Preintervention = 1320 and postintervention = 1450. Neonates with weight loss of ≥ 5% within the first 24-h time interval were higher in the postintervention group (19.7%) as compared to the preintervention group (10.2%) (P < .05). However, the number of infants diagnosed to have NHD was lower in the postintervention group (0.68%) than in the preintervention group (1.66%), (P < .03). Neonatal characteristics were comparable between subgroups of dehydration. CONCLUSION: An intervention at ≥ 5% neonatal weight loss markedly reduces the incidence of NHD-associated NICU admissions. |
format | Online Article Text |
id | pubmed-9072242 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | King Faisal Specialist Hospital and Research Centre |
record_format | MEDLINE/PubMed |
spelling | pubmed-90722422022-05-13 Weight loss monitoring reduces the occurrence of neonatal hypernatremic dehydration in breastfeeding neonates Zia, Muhammad TK. Golombek, Sergio Nitkowski-Keever, Sabrina Paudel, Umesh Int J Pediatr Adolesc Med Original Article BACKGROUND: Excessive weight loss enhances the incidence of neonatal hypernatremic dehydration (NHD). We compared the effect of a new breastfeeding policy against an old breastfeeding policy on neonatal weight change and the incidence of NHD. METHODS: This was a QA project between two sets of breastfeeding (BF) protocols for exclusively BF newborns. Under our old BF policy, a number of neonates had a significant loss of weight after birth and were admitted to the NICU due to NHD. We implemented a new BF policy that was used when a newborn loses>5% of previously recorded weight within a 24-h interval. Two groups were compared: the preintervention group (old BF policy) and postintervention group (new BF policy). Additionally, characteristics of newborns admitted to NICU were separately compared with the subgroup of pre- and post intervention dehydration groups. RESULTS: Preintervention = 1320 and postintervention = 1450. Neonates with weight loss of ≥ 5% within the first 24-h time interval were higher in the postintervention group (19.7%) as compared to the preintervention group (10.2%) (P < .05). However, the number of infants diagnosed to have NHD was lower in the postintervention group (0.68%) than in the preintervention group (1.66%), (P < .03). Neonatal characteristics were comparable between subgroups of dehydration. CONCLUSION: An intervention at ≥ 5% neonatal weight loss markedly reduces the incidence of NHD-associated NICU admissions. King Faisal Specialist Hospital and Research Centre 2022-03 2021-02-25 /pmc/articles/PMC9072242/ /pubmed/35573072 http://dx.doi.org/10.1016/j.ijpam.2021.02.004 Text en © 2021 Publishing services provided by Elsevier B.V. on behalf of King Faisal Specialist Hospital & Research Centre (General Organization), Saudi Arabia. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Article Zia, Muhammad TK. Golombek, Sergio Nitkowski-Keever, Sabrina Paudel, Umesh Weight loss monitoring reduces the occurrence of neonatal hypernatremic dehydration in breastfeeding neonates |
title | Weight loss monitoring reduces the occurrence of neonatal hypernatremic dehydration in breastfeeding neonates |
title_full | Weight loss monitoring reduces the occurrence of neonatal hypernatremic dehydration in breastfeeding neonates |
title_fullStr | Weight loss monitoring reduces the occurrence of neonatal hypernatremic dehydration in breastfeeding neonates |
title_full_unstemmed | Weight loss monitoring reduces the occurrence of neonatal hypernatremic dehydration in breastfeeding neonates |
title_short | Weight loss monitoring reduces the occurrence of neonatal hypernatremic dehydration in breastfeeding neonates |
title_sort | weight loss monitoring reduces the occurrence of neonatal hypernatremic dehydration in breastfeeding neonates |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9072242/ https://www.ncbi.nlm.nih.gov/pubmed/35573072 http://dx.doi.org/10.1016/j.ijpam.2021.02.004 |
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