title: A review of 116 cases of breastfeeding-associated hypernatremia in rural area of central Turkey.
abstract: We aimed to assess the incidence, neurologic and neurodevelopmental outcome of breastfeeding-associated hypernatremic dehydration among hospitalized neonates in rural area of central Turkey. A retrospective study was conducted at Gevher Nesibe Hospital over a 6-year period, to identify otherwise healthy term and near-term (> or = 35 weeks of gestation) breastfed neonates (<29 days of age) who were admitted with serum sodium concentrations of >150 mEq/l and no explanation for hypernatremia other than inadequate milk intake. The incidence of breastfeeding-associated hypernatremic dehydration among hospitalized term and near-term neonates (n = 5592) was 2.1%, occurring for 116 breastfed infants. More than one half of the infants admitted with breastfeeding-associated hypernatremia exhibited abnormal development at 12 or more months of age. Increased efforts are required to establish successful breastfeeding.
authors.affiliation: Department of Paediatrics, School of Medicine, Erciyes University, Kayseri, 38039, Turkey. esad@erciyes.edu.tr
authors.forename: Esad
authors.initials: E
authors.lastname: Koklu
authors.forename: Tamer
authors.initials: T
authors.lastname: Gunes
authors.forename: Mehmet Adnan
authors.initials: MA
authors.lastname: Ozturk
authors.forename: Mehmet
authors.initials: M
authors.lastname: Kose
authors.forename: Selim
authors.initials: S
authors.lastname: Kurtoglu
authors.forename: Fatih
authors.initials: F
authors.lastname: Yuksel
mesh_terms: D000328:Adult; D001942:Breast Feeding / Q000009:adverse effects*; D002657:Child Development; D003681:Dehydration / Q000150:complications / Q000453:epidemiology / Q000209:etiology*; D005260:Female; D006801:Humans; D006955:Hypernatremia / Q000150:complications / Q000453:epidemiology / Q000209:etiology*; D015994:Incidence; D007231:Infant, Newborn; D008297:Male; D008423:Maternal Age; D009422:Nervous System Diseases / Q000453:epidemiology / Q000209:etiology; D012189:Retrospective Studies; D014421:Turkey / Q000453:epidemiology