The relationship between hypernatremia and breast milk sodium levels in newborns with hypernatremic dehydration

Leman Tekin Orgun; Fusün Atlıhan; Özgür Olukman; Figen İşleten; Ali Orgun; Ferah Genel; Şebnem Çalkavur; İsmail Cengiz Öztürk; Erhan Özbek

doi:https://doi.org/10.18621/eurj.373386

Makale detayları

The relationship between hypernatremia and breast milk sodium levels in newborns with hypernatremic dehydration

Yazarlar:

Leman Tekin Orgun | Fusün Atlıhan | Özgür Olukman | Figen İşleten | Ali Orgun | Ferah Genel | Şebnem Çalkavur | İsmail Cengiz Öztürk | Erhan Özbek

Yayıncı:

Prusa Medical Publishing

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

The European Research Journal 2019 Vol.5 Issue 2, pp.361-368

Belge Tipi:

Makale

Yayın Tarihi:

3/2019

Belge Dili:

İngilizce

Document ID (Org No.):

2000662859

Sıklık:

İki Aylık

eISSN:

2149-3189

DOI:

https://doi.org/10.18621/eurj.373386

Özet:

 


Objectives: Breast-feeding with high sodium content milk may cause hypernatremic
dehydration in neonates (NHD). The number of cases with NHD tends to increase
particularly in the higher temperature seasons. In this prospective
case-control study, the relationship between NHD and breast milk sodium (Na)
levels and demographic features of NHD were investigated during the summer
season. 

Methods: The study
included term newborns admitted to the neonatal intensive care unit of our
hospital with the diagnosis of hypernatremic dehydration between June 2009 and
October 2009. Serum sodium level ≥ 150mEq/L was accepted as hypernatremia.
Among 109 NHD patients, breast milk sodium level was evaluated in 50 cases.
Term infants without hypernatremic dehydration were taken as the control group
(50 cases). 

Results: Postnatal
age at admission ranged between 2 and 12 days and mean serum Na concentration
was 152 mEq/L (150-173 mEq/L). A significant weight loss of >10% was
determined in 85% of cases. Breast milk Na was significantly higher in the
hypernatremic group (24.3 ± 20.3 mEq/L) compared to the control group (12.6 ± 6.79
mEq/L) (p < 0.001). In primiparous mothers, the mean breast milk Na
level was statistically higher than that of multipara mothers (21.16 ± 19.9 mEq/L
vs 15.48 ± 9.96 mEq/L, p < 0.016). 

Conclusions: In this
study, we demonstrated that high breast milk sodium level was closely related
with NHD and being a primiparous mother appeared as a significant factor for
high breast milk sodium content. In this respect, all pregnant women especially
primiparous should be educated about infant nutrition and neonatal dehydration.
Health care providers should emphasize importance of frequent milking and more
fluid intake, especially in summer. 



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Makale detayları

The relationship between hypernatremia and breast milk sodium levels in newborns with hypernatremic dehydration

Yazarlar: Leman Tekin Orgun | Fusün Atlıhan | Özgür Olukman | Figen İşleten | Ali Orgun | Ferah Genel | Şebnem Çalkavur | İsmail Cengiz Öztürk | Erhan Özbek

Yayıncı: Prusa Medical Publishing

Ana Başlıklar: Sağlık teşvikleri

Dergi: The European Research Journal 2019 Vol.5 Issue 2, pp.361-368

Belge Tipi: Makale

Yayın Tarihi: 3/2019

Belge Dili: İngilizce

Document ID (Org No.): 2000662859

Sıklık: İki Aylık

eISSN: 2149-3189

DOI: https://doi.org/10.18621/eurj.373386

Sayı

Yazarlar:

Leman Tekin Orgun | Fusün Atlıhan | Özgür Olukman | Figen İşleten | Ali Orgun | Ferah Genel | Şebnem Çalkavur | İsmail Cengiz Öztürk | Erhan Özbek

Yayıncı:

Prusa Medical Publishing

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

The European Research Journal 2019 Vol.5 Issue 2, pp.361-368

Belge Tipi:

Makale

Yayın Tarihi:

3/2019

Belge Dili:

İngilizce

Document ID (Org No.):

2000662859

Sıklık:

İki Aylık

eISSN:

2149-3189

DOI:

https://doi.org/10.18621/eurj.373386