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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...

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Autores principales: Zia, Muhammad TK., Golombek, Sergio, Nitkowski-Keever, Sabrina, Paudel, Umesh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: King Faisal Specialist Hospital and Research Centre 2022
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.
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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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