Weight Loss and/or Hypernatraemia in Inadequately Breastfed Term Neonates having Non-haemolytic Unconjugated Hyperbilirubinaemia
Introduction: Insufficient breast milk intake can lead to increased incidence of neonatal jaundice, inadequate weight gain, hypernatraemic dehydration in neonates and occasionally may cause serious complications. Aim: To know the proportion of neonates admitted with nonhaemolytic unconjugated hyperb...
Ausführliche Beschreibung
Autor*in: |
Mani Singla [verfasserIn] Sushma Malik [verfasserIn] Charusheela Sujit Korday [verfasserIn] Ashutosh Abhimanyu Paldiwal [verfasserIn] |
---|
Format: |
E-Artikel |
---|---|
Sprache: |
Englisch |
Erschienen: |
2018 |
---|
Schlagwörter: |
---|
Übergeordnetes Werk: |
In: Journal of Clinical and Diagnostic Research - JCDR Research and Publications Private Limited, 2009, 12(2018), 1, Seite SC01-SC04 |
---|---|
Übergeordnetes Werk: |
volume:12 ; year:2018 ; number:1 ; pages:SC01-SC04 |
Links: |
Link aufrufen |
---|
DOI / URN: |
10.7860/JCDR/2018/31791.11066 |
---|
Katalog-ID: |
DOAJ029748135 |
---|
LEADER | 01000caa a22002652 4500 | ||
---|---|---|---|
001 | DOAJ029748135 | ||
003 | DE-627 | ||
005 | 20230307140651.0 | ||
007 | cr uuu---uuuuu | ||
008 | 230226s2018 xx |||||o 00| ||eng c | ||
024 | 7 | |a 10.7860/JCDR/2018/31791.11066 |2 doi | |
035 | |a (DE-627)DOAJ029748135 | ||
035 | |a (DE-599)DOAJ6de6929c4e7e4dbb988eb246490ead19 | ||
040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
041 | |a eng | ||
100 | 0 | |a Mani Singla |e verfasserin |4 aut | |
245 | 1 | 0 | |a Weight Loss and/or Hypernatraemia in Inadequately Breastfed Term Neonates having Non-haemolytic Unconjugated Hyperbilirubinaemia |
264 | 1 | |c 2018 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a Computermedien |b c |2 rdamedia | ||
338 | |a Online-Ressource |b cr |2 rdacarrier | ||
520 | |a Introduction: Insufficient breast milk intake can lead to increased incidence of neonatal jaundice, inadequate weight gain, hypernatraemic dehydration in neonates and occasionally may cause serious complications. Aim: To know the proportion of neonates admitted with nonhaemolytic unconjugated hyperbilirubinaemia exhibit inadequate weight gain and hypernatraemia and their relationship to breastfeeding pattern. Materials and Methods: We conducted a prospective observational study at the Neonatal Intensive Care Unit (NICU)/ Postnatal Care (PNC) ward of our tertiary care hospital, over a period of one year. We enrolled 60 full term neonates with birth weight <2500 gm and <48 hours old, who were admitted for nonhaemolytic unconjugated hyperbilirubinaemia. These neonates were evaluated for daily weight, serum sodium levels, mother’s milk sodium levels and breastfeeding patterns. Mean, median and standard deviation were calculated for all the quantitative parameters. The correlations between various study parameters were assessed with the help of chi-square test and Pearson’s correlation coefficient. Results: Analysis revealed that maximum neonates 55 (91.6%) presented with hyperbilirubinaemia in the first week of life and 50 (83%) neonates were on exclusive breastfeeding. There were 21(33%) neonates with significant weight loss of <10% and of these seven (33.3%) had hypernatraemia, whereas in 39 babies who had no significant weight loss only two babies had hypernatraemia. This difference was found to be statistically significant (p-value=0.004). There were high mother’s milk sodium levels in neonates with weight loss and hypernatraemia (p=0.017). Incidence of combined weight loss and hypernatremia among all studied hyperbilirubinemic neonates was 12%. The weight loss pattern in babies was similar in multiparous or primiparous mothers and there was no statistical association of weight loss with parity (43% vs 30% respectively). Conclusion: We observed that a significant proportion of neonates admitted with unconjugated hyperbilirubinaemia which were inadequately breastfed had severe weight loss and hypernatraemia. High mother’s milk sodium levels in subset of babies with severe weight loss can suggest the possibility of lactation failure in their mothers. | ||
650 | 4 | |a breast milk sodium | |
650 | 4 | |a breastfeeding jaundice | |
650 | 4 | |a neonatal jaundice | |
653 | 0 | |a Medicine | |
653 | 0 | |a R | |
700 | 0 | |a Sushma Malik |e verfasserin |4 aut | |
700 | 0 | |a Charusheela Sujit Korday |e verfasserin |4 aut | |
700 | 0 | |a Ashutosh Abhimanyu Paldiwal |e verfasserin |4 aut | |
773 | 0 | 8 | |i In |t Journal of Clinical and Diagnostic Research |d JCDR Research and Publications Private Limited, 2009 |g 12(2018), 1, Seite SC01-SC04 |w (DE-627)789478048 |w (DE-600)2775283-5 |x 0973709X |7 nnns |
773 | 1 | 8 | |g volume:12 |g year:2018 |g number:1 |g pages:SC01-SC04 |
856 | 4 | 0 | |u https://doi.org/10.7860/JCDR/2018/31791.11066 |z kostenfrei |
856 | 4 | 0 | |u https://doaj.org/article/6de6929c4e7e4dbb988eb246490ead19 |z kostenfrei |
856 | 4 | 0 | |u https://jcdr.net/articles/PDF/11066/31791_230118_31791_F(SHU)_PF1_(PB_BT_RA_SL)_PFA(MJ_AnG_OM)_PN(AP).pdf |z kostenfrei |
856 | 4 | 2 | |u https://doaj.org/toc/2249-782X |y Journal toc |z kostenfrei |
856 | 4 | 2 | |u https://doaj.org/toc/0973-709X |y Journal toc |z kostenfrei |
912 | |a GBV_USEFLAG_A | ||
912 | |a SYSFLAG_A | ||
912 | |a GBV_DOAJ | ||
912 | |a GBV_ILN_20 | ||
912 | |a GBV_ILN_22 | ||
912 | |a GBV_ILN_23 | ||
912 | |a GBV_ILN_24 | ||
912 | |a GBV_ILN_39 | ||
912 | |a GBV_ILN_40 | ||
912 | |a GBV_ILN_60 | ||
912 | |a GBV_ILN_62 | ||
912 | |a GBV_ILN_63 | ||
912 | |a GBV_ILN_65 | ||
912 | |a GBV_ILN_69 | ||
912 | |a GBV_ILN_73 | ||
912 | |a GBV_ILN_74 | ||
912 | |a GBV_ILN_95 | ||
912 | |a GBV_ILN_105 | ||
912 | |a GBV_ILN_110 | ||
912 | |a GBV_ILN_151 | ||
912 | |a GBV_ILN_161 | ||
912 | |a GBV_ILN_170 | ||
912 | |a GBV_ILN_206 | ||
912 | |a GBV_ILN_213 | ||
912 | |a GBV_ILN_230 | ||
912 | |a GBV_ILN_285 | ||
912 | |a GBV_ILN_293 | ||
912 | |a GBV_ILN_602 | ||
912 | |a GBV_ILN_2005 | ||
912 | |a GBV_ILN_2009 | ||
912 | |a GBV_ILN_2011 | ||
912 | |a GBV_ILN_2014 | ||
912 | |a GBV_ILN_2055 | ||
912 | |a GBV_ILN_2111 | ||
912 | |a GBV_ILN_4012 | ||
912 | |a GBV_ILN_4037 | ||
912 | |a GBV_ILN_4112 | ||
912 | |a GBV_ILN_4125 | ||
912 | |a GBV_ILN_4126 | ||
912 | |a GBV_ILN_4249 | ||
912 | |a GBV_ILN_4305 | ||
912 | |a GBV_ILN_4306 | ||
912 | |a GBV_ILN_4307 | ||
912 | |a GBV_ILN_4313 | ||
912 | |a GBV_ILN_4322 | ||
912 | |a GBV_ILN_4323 | ||
912 | |a GBV_ILN_4324 | ||
912 | |a GBV_ILN_4325 | ||
912 | |a GBV_ILN_4338 | ||
912 | |a GBV_ILN_4367 | ||
912 | |a GBV_ILN_4700 | ||
951 | |a AR | ||
952 | |d 12 |j 2018 |e 1 |h SC01-SC04 |
author_variant |
m s ms s m sm c s k csk a a p aap |
---|---|
matchkey_str |
article:0973709X:2018----::egtosnohprareiiiaeutlbesfdementsaigoheoyiu |
hierarchy_sort_str |
2018 |
publishDate |
2018 |
allfields |
10.7860/JCDR/2018/31791.11066 doi (DE-627)DOAJ029748135 (DE-599)DOAJ6de6929c4e7e4dbb988eb246490ead19 DE-627 ger DE-627 rakwb eng Mani Singla verfasserin aut Weight Loss and/or Hypernatraemia in Inadequately Breastfed Term Neonates having Non-haemolytic Unconjugated Hyperbilirubinaemia 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: Insufficient breast milk intake can lead to increased incidence of neonatal jaundice, inadequate weight gain, hypernatraemic dehydration in neonates and occasionally may cause serious complications. Aim: To know the proportion of neonates admitted with nonhaemolytic unconjugated hyperbilirubinaemia exhibit inadequate weight gain and hypernatraemia and their relationship to breastfeeding pattern. Materials and Methods: We conducted a prospective observational study at the Neonatal Intensive Care Unit (NICU)/ Postnatal Care (PNC) ward of our tertiary care hospital, over a period of one year. We enrolled 60 full term neonates with birth weight <2500 gm and <48 hours old, who were admitted for nonhaemolytic unconjugated hyperbilirubinaemia. These neonates were evaluated for daily weight, serum sodium levels, mother’s milk sodium levels and breastfeeding patterns. Mean, median and standard deviation were calculated for all the quantitative parameters. The correlations between various study parameters were assessed with the help of chi-square test and Pearson’s correlation coefficient. Results: Analysis revealed that maximum neonates 55 (91.6%) presented with hyperbilirubinaemia in the first week of life and 50 (83%) neonates were on exclusive breastfeeding. There were 21(33%) neonates with significant weight loss of <10% and of these seven (33.3%) had hypernatraemia, whereas in 39 babies who had no significant weight loss only two babies had hypernatraemia. This difference was found to be statistically significant (p-value=0.004). There were high mother’s milk sodium levels in neonates with weight loss and hypernatraemia (p=0.017). Incidence of combined weight loss and hypernatremia among all studied hyperbilirubinemic neonates was 12%. The weight loss pattern in babies was similar in multiparous or primiparous mothers and there was no statistical association of weight loss with parity (43% vs 30% respectively). Conclusion: We observed that a significant proportion of neonates admitted with unconjugated hyperbilirubinaemia which were inadequately breastfed had severe weight loss and hypernatraemia. High mother’s milk sodium levels in subset of babies with severe weight loss can suggest the possibility of lactation failure in their mothers. breast milk sodium breastfeeding jaundice neonatal jaundice Medicine R Sushma Malik verfasserin aut Charusheela Sujit Korday verfasserin aut Ashutosh Abhimanyu Paldiwal verfasserin aut In Journal of Clinical and Diagnostic Research JCDR Research and Publications Private Limited, 2009 12(2018), 1, Seite SC01-SC04 (DE-627)789478048 (DE-600)2775283-5 0973709X nnns volume:12 year:2018 number:1 pages:SC01-SC04 https://doi.org/10.7860/JCDR/2018/31791.11066 kostenfrei https://doaj.org/article/6de6929c4e7e4dbb988eb246490ead19 kostenfrei https://jcdr.net/articles/PDF/11066/31791_230118_31791_F(SHU)_PF1_(PB_BT_RA_SL)_PFA(MJ_AnG_OM)_PN(AP).pdf kostenfrei https://doaj.org/toc/2249-782X Journal toc kostenfrei https://doaj.org/toc/0973-709X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2018 1 SC01-SC04 |
spelling |
10.7860/JCDR/2018/31791.11066 doi (DE-627)DOAJ029748135 (DE-599)DOAJ6de6929c4e7e4dbb988eb246490ead19 DE-627 ger DE-627 rakwb eng Mani Singla verfasserin aut Weight Loss and/or Hypernatraemia in Inadequately Breastfed Term Neonates having Non-haemolytic Unconjugated Hyperbilirubinaemia 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: Insufficient breast milk intake can lead to increased incidence of neonatal jaundice, inadequate weight gain, hypernatraemic dehydration in neonates and occasionally may cause serious complications. Aim: To know the proportion of neonates admitted with nonhaemolytic unconjugated hyperbilirubinaemia exhibit inadequate weight gain and hypernatraemia and their relationship to breastfeeding pattern. Materials and Methods: We conducted a prospective observational study at the Neonatal Intensive Care Unit (NICU)/ Postnatal Care (PNC) ward of our tertiary care hospital, over a period of one year. We enrolled 60 full term neonates with birth weight <2500 gm and <48 hours old, who were admitted for nonhaemolytic unconjugated hyperbilirubinaemia. These neonates were evaluated for daily weight, serum sodium levels, mother’s milk sodium levels and breastfeeding patterns. Mean, median and standard deviation were calculated for all the quantitative parameters. The correlations between various study parameters were assessed with the help of chi-square test and Pearson’s correlation coefficient. Results: Analysis revealed that maximum neonates 55 (91.6%) presented with hyperbilirubinaemia in the first week of life and 50 (83%) neonates were on exclusive breastfeeding. There were 21(33%) neonates with significant weight loss of <10% and of these seven (33.3%) had hypernatraemia, whereas in 39 babies who had no significant weight loss only two babies had hypernatraemia. This difference was found to be statistically significant (p-value=0.004). There were high mother’s milk sodium levels in neonates with weight loss and hypernatraemia (p=0.017). Incidence of combined weight loss and hypernatremia among all studied hyperbilirubinemic neonates was 12%. The weight loss pattern in babies was similar in multiparous or primiparous mothers and there was no statistical association of weight loss with parity (43% vs 30% respectively). Conclusion: We observed that a significant proportion of neonates admitted with unconjugated hyperbilirubinaemia which were inadequately breastfed had severe weight loss and hypernatraemia. High mother’s milk sodium levels in subset of babies with severe weight loss can suggest the possibility of lactation failure in their mothers. breast milk sodium breastfeeding jaundice neonatal jaundice Medicine R Sushma Malik verfasserin aut Charusheela Sujit Korday verfasserin aut Ashutosh Abhimanyu Paldiwal verfasserin aut In Journal of Clinical and Diagnostic Research JCDR Research and Publications Private Limited, 2009 12(2018), 1, Seite SC01-SC04 (DE-627)789478048 (DE-600)2775283-5 0973709X nnns volume:12 year:2018 number:1 pages:SC01-SC04 https://doi.org/10.7860/JCDR/2018/31791.11066 kostenfrei https://doaj.org/article/6de6929c4e7e4dbb988eb246490ead19 kostenfrei https://jcdr.net/articles/PDF/11066/31791_230118_31791_F(SHU)_PF1_(PB_BT_RA_SL)_PFA(MJ_AnG_OM)_PN(AP).pdf kostenfrei https://doaj.org/toc/2249-782X Journal toc kostenfrei https://doaj.org/toc/0973-709X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2018 1 SC01-SC04 |
allfields_unstemmed |
10.7860/JCDR/2018/31791.11066 doi (DE-627)DOAJ029748135 (DE-599)DOAJ6de6929c4e7e4dbb988eb246490ead19 DE-627 ger DE-627 rakwb eng Mani Singla verfasserin aut Weight Loss and/or Hypernatraemia in Inadequately Breastfed Term Neonates having Non-haemolytic Unconjugated Hyperbilirubinaemia 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: Insufficient breast milk intake can lead to increased incidence of neonatal jaundice, inadequate weight gain, hypernatraemic dehydration in neonates and occasionally may cause serious complications. Aim: To know the proportion of neonates admitted with nonhaemolytic unconjugated hyperbilirubinaemia exhibit inadequate weight gain and hypernatraemia and their relationship to breastfeeding pattern. Materials and Methods: We conducted a prospective observational study at the Neonatal Intensive Care Unit (NICU)/ Postnatal Care (PNC) ward of our tertiary care hospital, over a period of one year. We enrolled 60 full term neonates with birth weight <2500 gm and <48 hours old, who were admitted for nonhaemolytic unconjugated hyperbilirubinaemia. These neonates were evaluated for daily weight, serum sodium levels, mother’s milk sodium levels and breastfeeding patterns. Mean, median and standard deviation were calculated for all the quantitative parameters. The correlations between various study parameters were assessed with the help of chi-square test and Pearson’s correlation coefficient. Results: Analysis revealed that maximum neonates 55 (91.6%) presented with hyperbilirubinaemia in the first week of life and 50 (83%) neonates were on exclusive breastfeeding. There were 21(33%) neonates with significant weight loss of <10% and of these seven (33.3%) had hypernatraemia, whereas in 39 babies who had no significant weight loss only two babies had hypernatraemia. This difference was found to be statistically significant (p-value=0.004). There were high mother’s milk sodium levels in neonates with weight loss and hypernatraemia (p=0.017). Incidence of combined weight loss and hypernatremia among all studied hyperbilirubinemic neonates was 12%. The weight loss pattern in babies was similar in multiparous or primiparous mothers and there was no statistical association of weight loss with parity (43% vs 30% respectively). Conclusion: We observed that a significant proportion of neonates admitted with unconjugated hyperbilirubinaemia which were inadequately breastfed had severe weight loss and hypernatraemia. High mother’s milk sodium levels in subset of babies with severe weight loss can suggest the possibility of lactation failure in their mothers. breast milk sodium breastfeeding jaundice neonatal jaundice Medicine R Sushma Malik verfasserin aut Charusheela Sujit Korday verfasserin aut Ashutosh Abhimanyu Paldiwal verfasserin aut In Journal of Clinical and Diagnostic Research JCDR Research and Publications Private Limited, 2009 12(2018), 1, Seite SC01-SC04 (DE-627)789478048 (DE-600)2775283-5 0973709X nnns volume:12 year:2018 number:1 pages:SC01-SC04 https://doi.org/10.7860/JCDR/2018/31791.11066 kostenfrei https://doaj.org/article/6de6929c4e7e4dbb988eb246490ead19 kostenfrei https://jcdr.net/articles/PDF/11066/31791_230118_31791_F(SHU)_PF1_(PB_BT_RA_SL)_PFA(MJ_AnG_OM)_PN(AP).pdf kostenfrei https://doaj.org/toc/2249-782X Journal toc kostenfrei https://doaj.org/toc/0973-709X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2018 1 SC01-SC04 |
allfieldsGer |
10.7860/JCDR/2018/31791.11066 doi (DE-627)DOAJ029748135 (DE-599)DOAJ6de6929c4e7e4dbb988eb246490ead19 DE-627 ger DE-627 rakwb eng Mani Singla verfasserin aut Weight Loss and/or Hypernatraemia in Inadequately Breastfed Term Neonates having Non-haemolytic Unconjugated Hyperbilirubinaemia 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: Insufficient breast milk intake can lead to increased incidence of neonatal jaundice, inadequate weight gain, hypernatraemic dehydration in neonates and occasionally may cause serious complications. Aim: To know the proportion of neonates admitted with nonhaemolytic unconjugated hyperbilirubinaemia exhibit inadequate weight gain and hypernatraemia and their relationship to breastfeeding pattern. Materials and Methods: We conducted a prospective observational study at the Neonatal Intensive Care Unit (NICU)/ Postnatal Care (PNC) ward of our tertiary care hospital, over a period of one year. We enrolled 60 full term neonates with birth weight <2500 gm and <48 hours old, who were admitted for nonhaemolytic unconjugated hyperbilirubinaemia. These neonates were evaluated for daily weight, serum sodium levels, mother’s milk sodium levels and breastfeeding patterns. Mean, median and standard deviation were calculated for all the quantitative parameters. The correlations between various study parameters were assessed with the help of chi-square test and Pearson’s correlation coefficient. Results: Analysis revealed that maximum neonates 55 (91.6%) presented with hyperbilirubinaemia in the first week of life and 50 (83%) neonates were on exclusive breastfeeding. There were 21(33%) neonates with significant weight loss of <10% and of these seven (33.3%) had hypernatraemia, whereas in 39 babies who had no significant weight loss only two babies had hypernatraemia. This difference was found to be statistically significant (p-value=0.004). There were high mother’s milk sodium levels in neonates with weight loss and hypernatraemia (p=0.017). Incidence of combined weight loss and hypernatremia among all studied hyperbilirubinemic neonates was 12%. The weight loss pattern in babies was similar in multiparous or primiparous mothers and there was no statistical association of weight loss with parity (43% vs 30% respectively). Conclusion: We observed that a significant proportion of neonates admitted with unconjugated hyperbilirubinaemia which were inadequately breastfed had severe weight loss and hypernatraemia. High mother’s milk sodium levels in subset of babies with severe weight loss can suggest the possibility of lactation failure in their mothers. breast milk sodium breastfeeding jaundice neonatal jaundice Medicine R Sushma Malik verfasserin aut Charusheela Sujit Korday verfasserin aut Ashutosh Abhimanyu Paldiwal verfasserin aut In Journal of Clinical and Diagnostic Research JCDR Research and Publications Private Limited, 2009 12(2018), 1, Seite SC01-SC04 (DE-627)789478048 (DE-600)2775283-5 0973709X nnns volume:12 year:2018 number:1 pages:SC01-SC04 https://doi.org/10.7860/JCDR/2018/31791.11066 kostenfrei https://doaj.org/article/6de6929c4e7e4dbb988eb246490ead19 kostenfrei https://jcdr.net/articles/PDF/11066/31791_230118_31791_F(SHU)_PF1_(PB_BT_RA_SL)_PFA(MJ_AnG_OM)_PN(AP).pdf kostenfrei https://doaj.org/toc/2249-782X Journal toc kostenfrei https://doaj.org/toc/0973-709X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2018 1 SC01-SC04 |
allfieldsSound |
10.7860/JCDR/2018/31791.11066 doi (DE-627)DOAJ029748135 (DE-599)DOAJ6de6929c4e7e4dbb988eb246490ead19 DE-627 ger DE-627 rakwb eng Mani Singla verfasserin aut Weight Loss and/or Hypernatraemia in Inadequately Breastfed Term Neonates having Non-haemolytic Unconjugated Hyperbilirubinaemia 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: Insufficient breast milk intake can lead to increased incidence of neonatal jaundice, inadequate weight gain, hypernatraemic dehydration in neonates and occasionally may cause serious complications. Aim: To know the proportion of neonates admitted with nonhaemolytic unconjugated hyperbilirubinaemia exhibit inadequate weight gain and hypernatraemia and their relationship to breastfeeding pattern. Materials and Methods: We conducted a prospective observational study at the Neonatal Intensive Care Unit (NICU)/ Postnatal Care (PNC) ward of our tertiary care hospital, over a period of one year. We enrolled 60 full term neonates with birth weight <2500 gm and <48 hours old, who were admitted for nonhaemolytic unconjugated hyperbilirubinaemia. These neonates were evaluated for daily weight, serum sodium levels, mother’s milk sodium levels and breastfeeding patterns. Mean, median and standard deviation were calculated for all the quantitative parameters. The correlations between various study parameters were assessed with the help of chi-square test and Pearson’s correlation coefficient. Results: Analysis revealed that maximum neonates 55 (91.6%) presented with hyperbilirubinaemia in the first week of life and 50 (83%) neonates were on exclusive breastfeeding. There were 21(33%) neonates with significant weight loss of <10% and of these seven (33.3%) had hypernatraemia, whereas in 39 babies who had no significant weight loss only two babies had hypernatraemia. This difference was found to be statistically significant (p-value=0.004). There were high mother’s milk sodium levels in neonates with weight loss and hypernatraemia (p=0.017). Incidence of combined weight loss and hypernatremia among all studied hyperbilirubinemic neonates was 12%. The weight loss pattern in babies was similar in multiparous or primiparous mothers and there was no statistical association of weight loss with parity (43% vs 30% respectively). Conclusion: We observed that a significant proportion of neonates admitted with unconjugated hyperbilirubinaemia which were inadequately breastfed had severe weight loss and hypernatraemia. High mother’s milk sodium levels in subset of babies with severe weight loss can suggest the possibility of lactation failure in their mothers. breast milk sodium breastfeeding jaundice neonatal jaundice Medicine R Sushma Malik verfasserin aut Charusheela Sujit Korday verfasserin aut Ashutosh Abhimanyu Paldiwal verfasserin aut In Journal of Clinical and Diagnostic Research JCDR Research and Publications Private Limited, 2009 12(2018), 1, Seite SC01-SC04 (DE-627)789478048 (DE-600)2775283-5 0973709X nnns volume:12 year:2018 number:1 pages:SC01-SC04 https://doi.org/10.7860/JCDR/2018/31791.11066 kostenfrei https://doaj.org/article/6de6929c4e7e4dbb988eb246490ead19 kostenfrei https://jcdr.net/articles/PDF/11066/31791_230118_31791_F(SHU)_PF1_(PB_BT_RA_SL)_PFA(MJ_AnG_OM)_PN(AP).pdf kostenfrei https://doaj.org/toc/2249-782X Journal toc kostenfrei https://doaj.org/toc/0973-709X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2018 1 SC01-SC04 |
language |
English |
source |
In Journal of Clinical and Diagnostic Research 12(2018), 1, Seite SC01-SC04 volume:12 year:2018 number:1 pages:SC01-SC04 |
sourceStr |
In Journal of Clinical and Diagnostic Research 12(2018), 1, Seite SC01-SC04 volume:12 year:2018 number:1 pages:SC01-SC04 |
format_phy_str_mv |
Article |
institution |
findex.gbv.de |
topic_facet |
breast milk sodium breastfeeding jaundice neonatal jaundice Medicine R |
isfreeaccess_bool |
true |
container_title |
Journal of Clinical and Diagnostic Research |
authorswithroles_txt_mv |
Mani Singla @@aut@@ Sushma Malik @@aut@@ Charusheela Sujit Korday @@aut@@ Ashutosh Abhimanyu Paldiwal @@aut@@ |
publishDateDaySort_date |
2018-01-01T00:00:00Z |
hierarchy_top_id |
789478048 |
id |
DOAJ029748135 |
language_de |
englisch |
fullrecord |
<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">DOAJ029748135</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230307140651.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">230226s2018 xx |||||o 00| ||eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.7860/JCDR/2018/31791.11066</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)DOAJ029748135</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)DOAJ6de6929c4e7e4dbb988eb246490ead19</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="100" ind1="0" ind2=" "><subfield code="a">Mani Singla</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Weight Loss and/or Hypernatraemia in Inadequately Breastfed Term Neonates having Non-haemolytic Unconjugated Hyperbilirubinaemia</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2018</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Introduction: Insufficient breast milk intake can lead to increased incidence of neonatal jaundice, inadequate weight gain, hypernatraemic dehydration in neonates and occasionally may cause serious complications. Aim: To know the proportion of neonates admitted with nonhaemolytic unconjugated hyperbilirubinaemia exhibit inadequate weight gain and hypernatraemia and their relationship to breastfeeding pattern. Materials and Methods: We conducted a prospective observational study at the Neonatal Intensive Care Unit (NICU)/ Postnatal Care (PNC) ward of our tertiary care hospital, over a period of one year. We enrolled 60 full term neonates with birth weight <2500 gm and <48 hours old, who were admitted for nonhaemolytic unconjugated hyperbilirubinaemia. These neonates were evaluated for daily weight, serum sodium levels, mother’s milk sodium levels and breastfeeding patterns. Mean, median and standard deviation were calculated for all the quantitative parameters. The correlations between various study parameters were assessed with the help of chi-square test and Pearson’s correlation coefficient. Results: Analysis revealed that maximum neonates 55 (91.6%) presented with hyperbilirubinaemia in the first week of life and 50 (83%) neonates were on exclusive breastfeeding. There were 21(33%) neonates with significant weight loss of <10% and of these seven (33.3%) had hypernatraemia, whereas in 39 babies who had no significant weight loss only two babies had hypernatraemia. This difference was found to be statistically significant (p-value=0.004). There were high mother’s milk sodium levels in neonates with weight loss and hypernatraemia (p=0.017). Incidence of combined weight loss and hypernatremia among all studied hyperbilirubinemic neonates was 12%. The weight loss pattern in babies was similar in multiparous or primiparous mothers and there was no statistical association of weight loss with parity (43% vs 30% respectively). Conclusion: We observed that a significant proportion of neonates admitted with unconjugated hyperbilirubinaemia which were inadequately breastfed had severe weight loss and hypernatraemia. High mother’s milk sodium levels in subset of babies with severe weight loss can suggest the possibility of lactation failure in their mothers.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">breast milk sodium</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">breastfeeding jaundice</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">neonatal jaundice</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Medicine</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">R</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Sushma Malik</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Charusheela Sujit Korday</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Ashutosh Abhimanyu Paldiwal</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">In</subfield><subfield code="t">Journal of Clinical and Diagnostic Research</subfield><subfield code="d">JCDR Research and Publications Private Limited, 2009</subfield><subfield code="g">12(2018), 1, Seite SC01-SC04</subfield><subfield code="w">(DE-627)789478048</subfield><subfield code="w">(DE-600)2775283-5</subfield><subfield code="x">0973709X</subfield><subfield code="7">nnns</subfield></datafield><datafield tag="773" ind1="1" ind2="8"><subfield code="g">volume:12</subfield><subfield code="g">year:2018</subfield><subfield code="g">number:1</subfield><subfield code="g">pages:SC01-SC04</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://doi.org/10.7860/JCDR/2018/31791.11066</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://doaj.org/article/6de6929c4e7e4dbb988eb246490ead19</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://jcdr.net/articles/PDF/11066/31791_230118_31791_F(SHU)_PF1_(PB_BT_RA_SL)_PFA(MJ_AnG_OM)_PN(AP).pdf</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="2"><subfield code="u">https://doaj.org/toc/2249-782X</subfield><subfield code="y">Journal toc</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="2"><subfield code="u">https://doaj.org/toc/0973-709X</subfield><subfield code="y">Journal toc</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_USEFLAG_A</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SYSFLAG_A</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_DOAJ</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_20</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_22</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_23</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_24</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_39</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_40</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_60</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_62</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_63</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_65</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_69</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_73</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_74</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_95</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_105</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_110</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_151</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_161</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_170</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_206</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_213</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_230</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_285</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_293</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_602</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_2005</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_2009</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_2011</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_2014</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_2055</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_2111</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4012</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4037</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4112</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4125</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4126</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4249</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4305</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4306</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4307</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4313</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4322</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4323</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4324</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4325</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4338</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4367</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4700</subfield></datafield><datafield tag="951" ind1=" " ind2=" "><subfield code="a">AR</subfield></datafield><datafield tag="952" ind1=" " ind2=" "><subfield code="d">12</subfield><subfield code="j">2018</subfield><subfield code="e">1</subfield><subfield code="h">SC01-SC04</subfield></datafield></record></collection>
|
author |
Mani Singla |
spellingShingle |
Mani Singla misc breast milk sodium misc breastfeeding jaundice misc neonatal jaundice misc Medicine misc R Weight Loss and/or Hypernatraemia in Inadequately Breastfed Term Neonates having Non-haemolytic Unconjugated Hyperbilirubinaemia |
authorStr |
Mani Singla |
ppnlink_with_tag_str_mv |
@@773@@(DE-627)789478048 |
format |
electronic Article |
delete_txt_mv |
keep |
author_role |
aut aut aut aut |
collection |
DOAJ |
remote_str |
true |
illustrated |
Not Illustrated |
issn |
0973709X |
topic_title |
Weight Loss and/or Hypernatraemia in Inadequately Breastfed Term Neonates having Non-haemolytic Unconjugated Hyperbilirubinaemia breast milk sodium breastfeeding jaundice neonatal jaundice |
topic |
misc breast milk sodium misc breastfeeding jaundice misc neonatal jaundice misc Medicine misc R |
topic_unstemmed |
misc breast milk sodium misc breastfeeding jaundice misc neonatal jaundice misc Medicine misc R |
topic_browse |
misc breast milk sodium misc breastfeeding jaundice misc neonatal jaundice misc Medicine misc R |
format_facet |
Elektronische Aufsätze Aufsätze Elektronische Ressource |
format_main_str_mv |
Text Zeitschrift/Artikel |
carriertype_str_mv |
cr |
hierarchy_parent_title |
Journal of Clinical and Diagnostic Research |
hierarchy_parent_id |
789478048 |
hierarchy_top_title |
Journal of Clinical and Diagnostic Research |
isfreeaccess_txt |
true |
familylinks_str_mv |
(DE-627)789478048 (DE-600)2775283-5 |
title |
Weight Loss and/or Hypernatraemia in Inadequately Breastfed Term Neonates having Non-haemolytic Unconjugated Hyperbilirubinaemia |
ctrlnum |
(DE-627)DOAJ029748135 (DE-599)DOAJ6de6929c4e7e4dbb988eb246490ead19 |
title_full |
Weight Loss and/or Hypernatraemia in Inadequately Breastfed Term Neonates having Non-haemolytic Unconjugated Hyperbilirubinaemia |
author_sort |
Mani Singla |
journal |
Journal of Clinical and Diagnostic Research |
journalStr |
Journal of Clinical and Diagnostic Research |
lang_code |
eng |
isOA_bool |
true |
recordtype |
marc |
publishDateSort |
2018 |
contenttype_str_mv |
txt |
author_browse |
Mani Singla Sushma Malik Charusheela Sujit Korday Ashutosh Abhimanyu Paldiwal |
container_volume |
12 |
format_se |
Elektronische Aufsätze |
author-letter |
Mani Singla |
doi_str_mv |
10.7860/JCDR/2018/31791.11066 |
author2-role |
verfasserin |
title_sort |
weight loss and/or hypernatraemia in inadequately breastfed term neonates having non-haemolytic unconjugated hyperbilirubinaemia |
title_auth |
Weight Loss and/or Hypernatraemia in Inadequately Breastfed Term Neonates having Non-haemolytic Unconjugated Hyperbilirubinaemia |
abstract |
Introduction: Insufficient breast milk intake can lead to increased incidence of neonatal jaundice, inadequate weight gain, hypernatraemic dehydration in neonates and occasionally may cause serious complications. Aim: To know the proportion of neonates admitted with nonhaemolytic unconjugated hyperbilirubinaemia exhibit inadequate weight gain and hypernatraemia and their relationship to breastfeeding pattern. Materials and Methods: We conducted a prospective observational study at the Neonatal Intensive Care Unit (NICU)/ Postnatal Care (PNC) ward of our tertiary care hospital, over a period of one year. We enrolled 60 full term neonates with birth weight <2500 gm and <48 hours old, who were admitted for nonhaemolytic unconjugated hyperbilirubinaemia. These neonates were evaluated for daily weight, serum sodium levels, mother’s milk sodium levels and breastfeeding patterns. Mean, median and standard deviation were calculated for all the quantitative parameters. The correlations between various study parameters were assessed with the help of chi-square test and Pearson’s correlation coefficient. Results: Analysis revealed that maximum neonates 55 (91.6%) presented with hyperbilirubinaemia in the first week of life and 50 (83%) neonates were on exclusive breastfeeding. There were 21(33%) neonates with significant weight loss of <10% and of these seven (33.3%) had hypernatraemia, whereas in 39 babies who had no significant weight loss only two babies had hypernatraemia. This difference was found to be statistically significant (p-value=0.004). There were high mother’s milk sodium levels in neonates with weight loss and hypernatraemia (p=0.017). Incidence of combined weight loss and hypernatremia among all studied hyperbilirubinemic neonates was 12%. The weight loss pattern in babies was similar in multiparous or primiparous mothers and there was no statistical association of weight loss with parity (43% vs 30% respectively). Conclusion: We observed that a significant proportion of neonates admitted with unconjugated hyperbilirubinaemia which were inadequately breastfed had severe weight loss and hypernatraemia. High mother’s milk sodium levels in subset of babies with severe weight loss can suggest the possibility of lactation failure in their mothers. |
abstractGer |
Introduction: Insufficient breast milk intake can lead to increased incidence of neonatal jaundice, inadequate weight gain, hypernatraemic dehydration in neonates and occasionally may cause serious complications. Aim: To know the proportion of neonates admitted with nonhaemolytic unconjugated hyperbilirubinaemia exhibit inadequate weight gain and hypernatraemia and their relationship to breastfeeding pattern. Materials and Methods: We conducted a prospective observational study at the Neonatal Intensive Care Unit (NICU)/ Postnatal Care (PNC) ward of our tertiary care hospital, over a period of one year. We enrolled 60 full term neonates with birth weight <2500 gm and <48 hours old, who were admitted for nonhaemolytic unconjugated hyperbilirubinaemia. These neonates were evaluated for daily weight, serum sodium levels, mother’s milk sodium levels and breastfeeding patterns. Mean, median and standard deviation were calculated for all the quantitative parameters. The correlations between various study parameters were assessed with the help of chi-square test and Pearson’s correlation coefficient. Results: Analysis revealed that maximum neonates 55 (91.6%) presented with hyperbilirubinaemia in the first week of life and 50 (83%) neonates were on exclusive breastfeeding. There were 21(33%) neonates with significant weight loss of <10% and of these seven (33.3%) had hypernatraemia, whereas in 39 babies who had no significant weight loss only two babies had hypernatraemia. This difference was found to be statistically significant (p-value=0.004). There were high mother’s milk sodium levels in neonates with weight loss and hypernatraemia (p=0.017). Incidence of combined weight loss and hypernatremia among all studied hyperbilirubinemic neonates was 12%. The weight loss pattern in babies was similar in multiparous or primiparous mothers and there was no statistical association of weight loss with parity (43% vs 30% respectively). Conclusion: We observed that a significant proportion of neonates admitted with unconjugated hyperbilirubinaemia which were inadequately breastfed had severe weight loss and hypernatraemia. High mother’s milk sodium levels in subset of babies with severe weight loss can suggest the possibility of lactation failure in their mothers. |
abstract_unstemmed |
Introduction: Insufficient breast milk intake can lead to increased incidence of neonatal jaundice, inadequate weight gain, hypernatraemic dehydration in neonates and occasionally may cause serious complications. Aim: To know the proportion of neonates admitted with nonhaemolytic unconjugated hyperbilirubinaemia exhibit inadequate weight gain and hypernatraemia and their relationship to breastfeeding pattern. Materials and Methods: We conducted a prospective observational study at the Neonatal Intensive Care Unit (NICU)/ Postnatal Care (PNC) ward of our tertiary care hospital, over a period of one year. We enrolled 60 full term neonates with birth weight <2500 gm and <48 hours old, who were admitted for nonhaemolytic unconjugated hyperbilirubinaemia. These neonates were evaluated for daily weight, serum sodium levels, mother’s milk sodium levels and breastfeeding patterns. Mean, median and standard deviation were calculated for all the quantitative parameters. The correlations between various study parameters were assessed with the help of chi-square test and Pearson’s correlation coefficient. Results: Analysis revealed that maximum neonates 55 (91.6%) presented with hyperbilirubinaemia in the first week of life and 50 (83%) neonates were on exclusive breastfeeding. There were 21(33%) neonates with significant weight loss of <10% and of these seven (33.3%) had hypernatraemia, whereas in 39 babies who had no significant weight loss only two babies had hypernatraemia. This difference was found to be statistically significant (p-value=0.004). There were high mother’s milk sodium levels in neonates with weight loss and hypernatraemia (p=0.017). Incidence of combined weight loss and hypernatremia among all studied hyperbilirubinemic neonates was 12%. The weight loss pattern in babies was similar in multiparous or primiparous mothers and there was no statistical association of weight loss with parity (43% vs 30% respectively). Conclusion: We observed that a significant proportion of neonates admitted with unconjugated hyperbilirubinaemia which were inadequately breastfed had severe weight loss and hypernatraemia. High mother’s milk sodium levels in subset of babies with severe weight loss can suggest the possibility of lactation failure in their mothers. |
collection_details |
GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 |
container_issue |
1 |
title_short |
Weight Loss and/or Hypernatraemia in Inadequately Breastfed Term Neonates having Non-haemolytic Unconjugated Hyperbilirubinaemia |
url |
https://doi.org/10.7860/JCDR/2018/31791.11066 https://doaj.org/article/6de6929c4e7e4dbb988eb246490ead19 https://jcdr.net/articles/PDF/11066/31791_230118_31791_F(SHU)_PF1_(PB_BT_RA_SL)_PFA(MJ_AnG_OM)_PN(AP).pdf https://doaj.org/toc/2249-782X https://doaj.org/toc/0973-709X |
remote_bool |
true |
author2 |
Sushma Malik Charusheela Sujit Korday Ashutosh Abhimanyu Paldiwal |
author2Str |
Sushma Malik Charusheela Sujit Korday Ashutosh Abhimanyu Paldiwal |
ppnlink |
789478048 |
mediatype_str_mv |
c |
isOA_txt |
true |
hochschulschrift_bool |
false |
doi_str |
10.7860/JCDR/2018/31791.11066 |
up_date |
2024-07-04T00:14:12.108Z |
_version_ |
1803605300594343936 |
fullrecord_marcxml |
<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">DOAJ029748135</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230307140651.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">230226s2018 xx |||||o 00| ||eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.7860/JCDR/2018/31791.11066</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)DOAJ029748135</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)DOAJ6de6929c4e7e4dbb988eb246490ead19</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="100" ind1="0" ind2=" "><subfield code="a">Mani Singla</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Weight Loss and/or Hypernatraemia in Inadequately Breastfed Term Neonates having Non-haemolytic Unconjugated Hyperbilirubinaemia</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2018</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Introduction: Insufficient breast milk intake can lead to increased incidence of neonatal jaundice, inadequate weight gain, hypernatraemic dehydration in neonates and occasionally may cause serious complications. Aim: To know the proportion of neonates admitted with nonhaemolytic unconjugated hyperbilirubinaemia exhibit inadequate weight gain and hypernatraemia and their relationship to breastfeeding pattern. Materials and Methods: We conducted a prospective observational study at the Neonatal Intensive Care Unit (NICU)/ Postnatal Care (PNC) ward of our tertiary care hospital, over a period of one year. We enrolled 60 full term neonates with birth weight <2500 gm and <48 hours old, who were admitted for nonhaemolytic unconjugated hyperbilirubinaemia. These neonates were evaluated for daily weight, serum sodium levels, mother’s milk sodium levels and breastfeeding patterns. Mean, median and standard deviation were calculated for all the quantitative parameters. The correlations between various study parameters were assessed with the help of chi-square test and Pearson’s correlation coefficient. Results: Analysis revealed that maximum neonates 55 (91.6%) presented with hyperbilirubinaemia in the first week of life and 50 (83%) neonates were on exclusive breastfeeding. There were 21(33%) neonates with significant weight loss of <10% and of these seven (33.3%) had hypernatraemia, whereas in 39 babies who had no significant weight loss only two babies had hypernatraemia. This difference was found to be statistically significant (p-value=0.004). There were high mother’s milk sodium levels in neonates with weight loss and hypernatraemia (p=0.017). Incidence of combined weight loss and hypernatremia among all studied hyperbilirubinemic neonates was 12%. The weight loss pattern in babies was similar in multiparous or primiparous mothers and there was no statistical association of weight loss with parity (43% vs 30% respectively). Conclusion: We observed that a significant proportion of neonates admitted with unconjugated hyperbilirubinaemia which were inadequately breastfed had severe weight loss and hypernatraemia. High mother’s milk sodium levels in subset of babies with severe weight loss can suggest the possibility of lactation failure in their mothers.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">breast milk sodium</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">breastfeeding jaundice</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">neonatal jaundice</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Medicine</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">R</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Sushma Malik</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Charusheela Sujit Korday</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Ashutosh Abhimanyu Paldiwal</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">In</subfield><subfield code="t">Journal of Clinical and Diagnostic Research</subfield><subfield code="d">JCDR Research and Publications Private Limited, 2009</subfield><subfield code="g">12(2018), 1, Seite SC01-SC04</subfield><subfield code="w">(DE-627)789478048</subfield><subfield code="w">(DE-600)2775283-5</subfield><subfield code="x">0973709X</subfield><subfield code="7">nnns</subfield></datafield><datafield tag="773" ind1="1" ind2="8"><subfield code="g">volume:12</subfield><subfield code="g">year:2018</subfield><subfield code="g">number:1</subfield><subfield code="g">pages:SC01-SC04</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://doi.org/10.7860/JCDR/2018/31791.11066</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://doaj.org/article/6de6929c4e7e4dbb988eb246490ead19</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://jcdr.net/articles/PDF/11066/31791_230118_31791_F(SHU)_PF1_(PB_BT_RA_SL)_PFA(MJ_AnG_OM)_PN(AP).pdf</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="2"><subfield code="u">https://doaj.org/toc/2249-782X</subfield><subfield code="y">Journal toc</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="2"><subfield code="u">https://doaj.org/toc/0973-709X</subfield><subfield code="y">Journal toc</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_USEFLAG_A</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SYSFLAG_A</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_DOAJ</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_20</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_22</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_23</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_24</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_39</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_40</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_60</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_62</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_63</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_65</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_69</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_73</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_74</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_95</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_105</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_110</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_151</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_161</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_170</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_206</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_213</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_230</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_285</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_293</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_602</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_2005</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_2009</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_2011</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_2014</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_2055</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_2111</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4012</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4037</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4112</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4125</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4126</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4249</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4305</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4306</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4307</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4313</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4322</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4323</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4324</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4325</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4338</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4367</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_ILN_4700</subfield></datafield><datafield tag="951" ind1=" " ind2=" "><subfield code="a">AR</subfield></datafield><datafield tag="952" ind1=" " ind2=" "><subfield code="d">12</subfield><subfield code="j">2018</subfield><subfield code="e">1</subfield><subfield code="h">SC01-SC04</subfield></datafield></record></collection>
|
score |
7.4002895 |