Year 2019, Volume 5, Issue 2, Pages 361 - 368 2019-03-04

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

Leman Tekin Orgun [1] , Fusün Atlıhan [2] , Özgür Olukman [3] , Figen İşleten [4] , Ali Orgun [5] , Ferah Genel [6] , Şebnem Çalkavur [7] , İsmail Cengiz Öztürk [8] , Erhan Özbek [9]

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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. 

Breast milk sodium, hypernatremic dehydration, newborn
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Primary Language en
Subjects Health Care Sciences and Services
Journal Section Original Articles
Authors

Orcid: 0000-0002-6533-8358
Author: Leman Tekin Orgun (Primary Author)
Institution: Department of Neonatology, Dr. Behçet Uz Children Diseases and Surgery Training and Research Hospital, İzmir, Turkey
Country: Turkey


Orcid: 0000-0001-5689-8153
Author: Fusün Atlıhan
Institution: Department of Neonatology, Dr. Behçet Uz Children Diseases and Surgery Training and Research Hospital, İzmir, Turkey
Country: Turkey


Orcid: 0000-0003-4006-0465
Author: Özgür Olukman
Institution: Department of Neonatology, Dr. Behçet Uz Children Diseases and Surgery Training and Research Hospital, İzmir, Turkey
Country: Turkey


Orcid: 0000-0002-2826-5479
Author: Figen İşleten
Institution: Department of Biochemistry, Dr. Behçet Uz Children Diseases and Surgery Training and Research Hospital, İzmir, Turkey
Country: Turkey


Orcid: 0000-0003-1604-270X
Author: Ali Orgun
Institution: Department of Neonatology, Dr. Behçet Uz Children Diseases and Surgery Training and Research Hospital, İzmir, Turkey
Country: Turkey


Orcid: 0000-0002-9976-067X
Author: Ferah Genel
Institution: Department of Neonatology, Dr. Behçet Uz Children Diseases and Surgery Training and Research Hospital, İzmir, Turkey
Country: Turkey


Orcid: 0000-0002-3820-2690
Author: Şebnem Çalkavur
Institution: Department of Neonatology, Dr. Behçet Uz Children Diseases and Surgery Training and Research Hospital, İzmir, Turkey
Country: Turkey


Orcid: 0000-0003-2237-4137
Author: İsmail Cengiz Öztürk
Institution: Department of Neonatology, Dr. Behçet Uz Children Diseases and Surgery Training and Research Hospital, İzmir, Turkey
Country: Turkey


Orcid: 0000-0002-5299-3935
Author: Erhan Özbek
Institution: Department of Neonatology, Dr. Behçet Uz Children Diseases and Surgery Training and Research Hospital, İzmir, Turkey
Country: Turkey


Dates

Publication Date: March 4, 2019

EndNote %0 The European Research Journal The relationship between hypernatremia and breast milk sodium levels in newborns with hypernatremic dehydration %A Leman Tekin Orgun , Fusün Atlıhan , Özgür Olukman , Figen İşleten , Ali Orgun , Ferah Genel , Şebnem Çalkavur , İsmail Cengiz Öztürk , Erhan Özbek %T The relationship between hypernatremia and breast milk sodium levels in newborns with hypernatremic dehydration %D 2019 %J The European Research Journal %P -2149-3189 %V 5 %N 2 %R doi: 10.18621/eurj.373386 %U 10.18621/eurj.373386