1/6. malnutrition and hypernatraemia in breastfed babies.Despite the well-known advantages of breast-feeding to both mother and infant, malnutrition of breastfed infants does occur. We report two term neonates who presented in the 3rd week of life with severe wasting, hypernatraemic dehydration and pre-renal failure while being exclusively breastfed. Breast-milk sodium levels were markedly elevated on admission. Both infants recovered following adequate hydration and showed excellent catch-up growth during follow-up while exclusive breast-feeding was maintained. The critical malnutrition in both cases was detected by the family physician during routine postnatal visits. Both mothers were well motivated toward breast-feeding and were unaware of the severity of the baby's illness.- - - - - - - - - - ranking = 1keywords = malnutrition (Clic here for more details about this article) |
2/6. Neonatal hypernatraemic dehydration and malnutrition associated with inadequate breastfeeding and elevated breast milk sodium.The advantages of breastfeedng to both the mother and infant are well recognised. In rare instances if breasteding is inadequate or if the sodium content bast milk is high, malnutrition and hypernatraemia can result. A 15 days old exclusively breastfed baby presented with inadequate weight gain. On evaluation, he was found to have hypernatraemia and mother's breast milk showed high sodium concentrations. The infant needed parenteral fluid for correction of dehydration and hypernatraemia. His serum sodium and breast milk sodium of the other of the mother returned to normal gradually. He started gaining weight on exclusive breastfeeds. The present paper describes the case report and brief review of the literature.- - - - - - - - - - ranking = 2.5keywords = malnutrition (Clic here for more details about this article) |
3/6. Management of hypernatremic dehydration due to insufficient lactation.Critical malnutrition and hypernatremic dehydration resulting from inadequate breast-feeding have previously been reported; the finding of elevated sodium concentration in expressed samples of mother's milk from these infants is found concurrently. This is the first case report describing successful relactation following management of hypernatremic dehydration in a breast-fed infant. Mother's milk was of inadequate volume and had a high sodium content. Treatment of the primary cause of this disorder, insufficient lactation, was effective in allowing successful relactation; a nursing supplementer is described.- - - - - - - - - - ranking = 0.5keywords = malnutrition (Clic here for more details about this article) |
4/6. malnutrition and hypernatremic dehydration in breast-fed infants.Despite the well-recognized advantages of breast-feeding to both mother and child, malnutrition of breast-fed infants can occur. We report two cases of breast-fed infants with cachexia, hypernatremia, and, in the one case in which it was measured, an elevated level of breast-milk sodium. These cases, along with several reported previously, emphasize the need for proper education and close and early follow-up of the nursing mother and infant, especially since a lack of parental awareness can be part of this syndrome.- - - - - - - - - - ranking = 0.5keywords = malnutrition (Clic here for more details about this article) |
5/6. Critical weight loss and malnutrition in breast-fed infants.In four infants of primiparous mothers, critical dehydration, hypothermia, and azotemia developed while they were being breast-fed exclusively. Three had significant hypernatremia, one had a perforated duodenal ulcer, and one had transient renal failure. Although the causes of the inadequate nutrition are unclear, these cases emphasize the necessity of close follow-up for breast-fed babies, especially those of primiparous mothers and those in whom there has been excessive weight loss while in the hospital.- - - - - - - - - - ranking = 2keywords = malnutrition (Clic here for more details about this article) |
6/6. starvation with hypernatremic dehydration in two breast-fed infants.Unrecognized breast feeding malnutrition may rapidly lead to life-threatening or neurologically devastating consequences. With the increased interest in lactation, it is important that physicians, dietitians, and nurses provide counseling to parents regarding the benefits and difficulties of breast feeding. Appropriate education, assessment of the infant's vigor and maternal milk supply prior to release from the hospital, and close follow-up evaluation are all necessary to help a mother feed successfully, to detect a developing problem, and to avert a potentially serious condition in the baby.- - - - - - - - - - ranking = 0.5keywords = malnutrition (Clic here for more details about this article) |