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  • Title: A review of 116 cases of breastfeeding-associated hypernatremia in rural area of central Turkey.
    Author: Koklu E, Gunes T, Ozturk MA, Kose M, Kurtoglu S, Yuksel F.
    Journal: J Trop Pediatr; 2007 Oct; 53(5):347-50. PubMed ID: 17496322.
    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.
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