Neonatal hypernatremia and dehydration in infants receiving inadequate breastfeeding

INTRODUCTION Neonatal hypernatermic dehydration (NHD) is a potentially very serious condition, which has been reported to occur in infants who have breast feeding problems in the first week of the life. This study looked at the incidence, risk factors, clinical symptoms and complications of NHD in healthy breastfed term neonates. METHODS A prospective case-control study was conducted on 53 neonates with serum sodium concentrations of >or=150 mmol/L (as the case group) who were recruited between June 2006 and June 2007 from the Ghaem hospital (Mashhad, Iran) to investigate the relationship between NHD and breastfeeding. Fifty-three healthy breastfed full-term neonates (serum sodium<150 mmol/L) from the same hospital were also recruited as the control group. RESULT The results showed an average weight loss of 1.6% in the healthy neonates vs. 16.2% in infants with NHD (p<0.001). The frequency of feeds received per day was 10.2 for the healthy neonates vs. 7.6 in the NHD group (p<0.001). The NHD group had mothers who had a higher frequency of breast problems (23 vs. 7, p<0.001). Mean serum sodium concentration was significantly lower in the control group compared with the cases (137.80 vs.160.06 mmol/L, p