An important problem in neonatal period: Hypernatremic dehydration

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dc.contributor.authorAkgün A.
dc.contributor.authorKatar S.
dc.contributor.authorTaşkesen M.
dc.contributor.authorÖzbek M.N.
dc.date.accessioned2024-04-24T17:58:22Z
dc.date.available2024-04-24T17:58:22Z
dc.date.issued2010
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjective: Hypernatremic dehydration of the newborn with breastfeeding, which has a high morbidity and mortality rates, has been reported to be increased in the recent years. In this study, it was aimed to evaluate the demographic, clinical features and the results of management in newborns with hyper-natremic dehydration. Material and Methods: A total of 31 term newborns with hypernatremic dehydration (Na > 150 mmol/L) who admitted to the Newborn Intensive Care Unit between January 2006 and June 2008 were included in this study. Results: Mean±SD weight and age of the newborns were 3362±711.3 g and 6.3±3.4 days respectively and all were breastfeeding. 19.4 % of the patients were born at home, 64.5 % and 3.2 % of the patients were born in city and cottage hospitals respectively. Only 12.9 % of the patients were born in our hospital. Jaundice (61.3 %) and poor sucking (19.4%) respectively were the most common presenting signs. Mean±SD serum and mean breast milk sodium concentrations were 161.7±12.8 mmol/L and >100 mmol/L in two, 78 mmol/L in one and 43 mmol/L in one mother, respectively. Subdural hemorrhage (in one newborn) and diffuse petechial bleeding in both two hemispheres and basal ganglions (in three newborns) were observed, with Cranial MRI. Motor retardation and mental-motor retardation were observed in 2/17 and 2/ 17 of the newborns, respectively. Two newborns died. Conclusion: Morbidity and mortality rates due to hypernatre-mic dehydration of the newborn may be lowered with simple preventive measures. Routine newborn examination in the first few days of life is important in the early diagnosis and prevention. These results have suggested that delivery at home, first pregnancy, cesarean delivery, delivery in hot season and early discharge after delivery are important risk factors in development of hypernatremic dehydration.en_US
dc.identifier.doi10.5222/J.GOZTEPETRH.2010.126
dc.identifier.endpage131en_US
dc.identifier.issn1300-526X
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-77957554779
dc.identifier.scopusqualityN/A
dc.identifier.startpage126en_US
dc.identifier.urihttps://doi.org/10.5222/J.GOZTEPETRH.2010.126
dc.identifier.urihttps://hdl.handle.net/11468/23873
dc.identifier.volume25en_US
dc.indekslendigikaynakScopus
dc.language.isotren_US
dc.relation.ispartofGoztepe Tip Dergisi
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHypernatremia. Dehydrationen_US
dc.subjectNewbornen_US
dc.subjectTermen_US
dc.titleAn important problem in neonatal period: Hypernatremic dehydrationen_US
dc.titleAn important problem in neonatal period: Hypernatremic dehydration
dc.title.alternativeYenido?an döneminde önemli bir sorun: Hipernatremik dehidratasyonen_US
dc.title.alternativeYenido?an döneminde önemli bir sorun: Hipernatremik dehidratasyon
dc.typeArticleen_US

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