Letters to the Editor

PEDIATRICS ◽  
1967 ◽  
Vol 40 (1) ◽  
pp. 137-137
Author(s):  
J. GEEFHUYSEN

Thank you for forwarding the letter relating to a further case of temporary idiopathic neonatal hyperglycemia published by W. L. Burland. I apologize for overlooking Dr. Burland's port of a case of temporary idiopathic neonatal hyperglycemia, which brings the total to date up to 18. The infant described by me was rehydrated intravenously within 24 hours and thereafter was maintained on oral fluids of 360 ml expressed breast milk and 120 ml water per 24 hours. The infant gained weight normally and did not become dehydrated on this regime. Therefore, in this case no insulin appeared necessary.

Author(s):  
MRS. SUJATHA S ◽  
DR. REBECCA SAMSON ◽  
DR. BRIDGITTE AKILA ◽  
DR. SUNDARE SAN

Author(s):  
L. Cordero ◽  
M.R. Stenger ◽  
M.B. Landon ◽  
C.A. Nankervis

BACKGROUND: Timely delivery and magnesium sulfate (MgSO4) are mainstay in the treatment of preeclampsia with severe features (PWSF). Premature delivery, severity of illness and mother-infant separation may increase the risk for breastfeeding (BF) initiation failure. OBJECTIVE: To compare BF initiation among women with late-onset PWSF for women with late-onset preeclampsia without severe features (WOSF). METHODS: Retrospective study of 158 women with PWSF and 104 with WOSF who delivered at ≥34 weeks. Intention to BF, formula feed (FF) or partially BF was declared prenatally. At discharge, exclusive BF included direct BF or direct BF with expressed breast milk (EBM). RESULTS: PWSF and WOSF groups were similar in age, race, and obstetric history. PWSF and WSOF differed in primiparity (65 & 51%), late preterm births (73 vs 15%), admission to NICU (44 &17%) and mother (5 & 4d) and infant (6 & 3d) hospital stay. Both groups were similar in intention to BF (80 & 84%), to FF (16 & 13%) and to partially BF (5 & 5%). At discharge, exclusive BF (37 & 39%), partial BF (33 & 31%) and FF (30 & 30%) were similar. Exclusive BF in the PWSF group was 43% direct BF, 28% direct BF and EBM and 29% EBM alone whereas in the WOSF group exclusive BF was 93% direct BF and 7% direct BF and EBM. CONCLUSION: BF initiation rates for women with PWSF and WOSF were similar. EBM alone or with direct BF enabled infants in the PWSF group to exclusively BF at discharge.


Author(s):  
M S Fewtrell ◽  
K Kennedy ◽  
J S Ahluwalia ◽  
R Nicholl ◽  
A Lucas ◽  
...  

PEDIATRICS ◽  
1995 ◽  
Vol 95 (4) ◽  
pp. 617-617
Author(s):  
Marsha Walker

I read with interest the report by the Provisional Committee for Quality Improvement and Subcommittee on Hyperbilirubinemia (Pediatrics 1994;94:558-565) entitled, "Practice Parameter: Management of Hyperbilirubinemia in the Healthy Term Newborn." I wish to make a couple of comments on jaundice and the breast-fed newborn. It was gratifying to see recommendations discouraging the interruption of breast-feeding and eliminating the use of supplemental water or dextrose and water in this situation. Many jaundiced breast-fed newborns simply need more breast milk, ie, more feedings and a check to see that the newborn is swallowing milk at breast.


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