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 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. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Mani Singla [verfasserIn] Sushma Malik [verfasserIn] Charusheela Sujit Korday [verfasserIn] Ashutosh Abhimanyu Paldiwal [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2018

Schlagwörter:	breast milk sodium breastfeeding jaundice neonatal jaundice

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 Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.7860/JCDR/2018/31791.11066

Katalog-ID:	DOAJ029748135

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245	1	0	\|a Weight Loss and/or Hypernatraemia in Inadequately Breastfed Term Neonates having Non-haemolytic Unconjugated Hyperbilirubinaemia
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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.
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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
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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
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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). 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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
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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
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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
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author_browse	Mani Singla Sushma Malik Charusheela Sujit Korday Ashutosh Abhimanyu Paldiwal
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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.
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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
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