Hypernatremic Dehydration Resulting From Inadequate Breast-Feeding

PEDIATRICS ◽  
1979 ◽  
Vol 63 (6) ◽  
pp. 931-932 ◽  
Author(s):  
Thomas A. Clarke ◽  
Marguetrite Markarian ◽  
William Griswold ◽  
Stanley Mendoza
Keyword(s):  
Case Report ◽  
Breast Milk ◽  
Amniotic Fluid ◽  
Breast Feeding ◽  
Scientific Evidence ◽  
Formula Feeding ◽  
Female Infant ◽  
White Female ◽  
Breast Fed ◽  
Hypernatremic Dehydration

Scientific evidence accumulated over the years confirms that breast milk has many advantages over formula feeding.1.2 The difficulty of monitoring an infant's intake from breast-feeding may occasionally lead to problems in the rare baby in whom inadequate intake of food and fluids is not apparent. In the present case, a 2-week-old infant developed severe hypernatremic dehydration. Hypernatremia has not been reported previously in a totally breast-fed infant. CASE REPORT A 3,860-gm white female infant was born to a 28-year-old primigravida mother at 40 weeks' gestation after an uncomplicated prenatal course. The amniotic fluid was meconium stained, and cardiac decelerations were noted during oxytocm induction.

scholarly journals Is there any difference between the iodine statuses of breast-fed and formula-fed infants and their mothers in an area with iodine sufficiency?

2018 ◽  
Vol 119 (9) ◽  
pp. 1012-1018 ◽  
Author(s):  
Pantea Nazeri ◽  
Hosein Dalili ◽  
Yadollah Mehrabi ◽  
Mehdi Hedayati ◽  
Parvin Mirmiran ◽  
...  
Keyword(s):  
Breast Milk ◽  
Breast Feeding ◽  
Urinary Iodine ◽  
Iodine Concentration ◽  
Formula Feeding ◽  
Exclusive Breast Feeding ◽  
Feeding Group ◽  
Feeding Type ◽  
Breast Fed ◽  
Iodine Sufficiency

AbstractDespite substantial progress in the global elimination of iodine deficiency, lactating mothers and their infants remain susceptible to insufficient iodine intake. This cross-sectional study was conducted to compare iodine statuses of breast-fed and formula-fed infants and their mothers at four randomly selected health care centres in Tehran. Healthy infants <3 months old and their mothers were randomly selected for inclusion in this study. Iodine was measured in urine and breast milk samples from each infant and mother as well as commercially available infant formula. The study included 124 postpartum mothers (29·2 (sd 4·9) years old) and their infants (2·0 (sd 0·23) months old). The iodine concentrations were 50–184 µg/l for infant formula, compared with a median breast milk iodine concentration (BMIC) of 100 µg/l in the exclusive breast-feeding group and 122 µg/l in the partial formula feeding group. The median values for urinary iodine concentration in the exclusive breast-feeding group were 183 µg/l (interquartile range (IQR) 76–285) for infants and 78 µg/l (IQR 42–145) for mothers, compared with 140 µg/l (IQR 68–290) for infants and 87 µg/l (IQR 44–159) for mothers in the formula feeding group. These differences were not statistically significant. After adjustment for BMIC, ANCOVA revealed that feeding type (exclusive breast-feeding v. partial formula feeding) did not significantly affect the infants’ or mother’s urinary iodine levels. Thus, in an area with iodine sufficiency, there was no difference in the iodine statuses of infants and mothers according to their feeding type.

Comparison of Maternal Absenteeism and Infant Illness Rates among Breast-Feeding and Formula-Feeding Women in Two Corporations

1995 ◽  
Vol 10 (2) ◽  
pp. 148-153 ◽  
Author(s):  
Rona Cohen ◽  
Marsha B. Mrtek ◽  
Robert G. Mrtek
Keyword(s):  
Experimental Study ◽  
Breast Milk ◽  
Breast Feeding ◽  
Health Care Providers ◽  
Experimental Studies ◽  
Formula Feeding ◽  
Control Group ◽  
Care Providers ◽  
Female Employees ◽  
Breast Fed

Purpose. A comparison was made between breast-feeding and formula-feeding among employed mothers. Absenteeism directly related to child care was examined. Design. This quasi-experimental study followed convenience samples of breast-feeding and formula-feeding mothers until their infants were weaned or reached 1 year of age. Setting. Two corporations with established lactation programs were used. One had approximately 100 births annually among 2400 female employees, and the other had approximately 30 births annually among 1200 female employees. Subjects. A sample of 101 participants, 59 feeding breast milk and 42 using commercial formula, was composed of employees returning from maternity leave for a medically uncomplicated birth. Intervention. The programs provided counseling by a lactation professional for all participants and facilities to collect and store breast milk. Measures. Confidential participant diaries provided descriptive data on infant illnesses and related absenteeism that the lactation consultant verified with health care providers and through employer attendance records. Analysis. Attribute counts of illnesses and absenteeism were reported as percentages. Single degree of freedom χ2 tests were used to compare rates between nutrition groups. Results. Approximately 28% of the infants in the study had no illnesses; 86% of these were breast-fed and 14% were formula-fed. When illnesses occurred, 25% of all 1-day maternal absences were among breast-fed babies and 75% were among the formula-fed group. Conclusions. In this study fewer and less severe infant illnesses and less maternal absenteeism was found in the breast-feeding group. This was not an experimental study. Participants were self-selected, and a comparison group was used rather than a true control group. Corroboration of these findings from larger experimental studies is needed to generalize beyond these groups.

scholarly journals Effects of Exclusive Breast Feeding for First Six Months of life on Children Weight, Height and Head Circumference in Sulaimani City, Kurdistan-Iraq and Compare with Other Types of Feeding

2021 ◽  
Vol 30 (1) ◽  
pp. 76-80
Author(s):  
Sardar M. Weli
Keyword(s):  
Breast Milk ◽  
Breast Feeding ◽  
Exclusive Breastfeeding ◽  
Head Circumference ◽  
Growth And Development ◽  
Formula Feeding ◽  
Mixed Feeding ◽  
Kurdistan Region ◽  
Essential Nutrients ◽  
Breast Fed

Breastfeeding (BF) serves as a complete nutritional source for the first six months of infant’s life. Breast milk contains all essential nutrients that necessary for the physiological growth and development of infants. The aim of this study was to compare the physiological growth of infants including weight, height and head circumference who were exclusively breastfed for 6 months and those who were given bottle-fed or mixed fed and to find a percentage of exclusive breastfeeding among mothers who contributed in this study in Sulaimani city. This study was carried out in Sulaimani city/ Kurdistan region of Iraq and the cases were enrolled between the first of October 2018 and first of October 2019. The infants’ weight, height and head circumstances were measured at different age levels (At age two, six, nine and fifteen months). The results of this study found that Among 198 mothers who were contributed in this study; 92 (46.5%) of mothers had EBF while 90 (45.5%) had mixed feeding and only 16 (8%) had exclusive formula feeding (EFF) in the first six months of baby’s life. Infant’s weight at age 2 months were no differences between types of feeding. However, at ages 6 and 9 were significantly high in infants who breastfed compared to formula fed but no differences were found between EBF and mixed feeding. At age 15 months weights of infants were again no differences were found between all types of feeding. For height parameter, infants who exclusively breastfed for six months were significantly higher than those of formula fed at age 2, 6, 9 and 15 months. Regarding head circumferences no significant differences between types of feeding at age 2 months were showed. Nevertheless, at age 6 and 15 months were significantly high in infants who breastfed than formula fed. The present study conclude that infants who breast fed for first six months of life have a higher weight, height and head circumferences than infants who exclusively formula fed. The percentage of EBF among Kurdish mothers were similar with other countries of Iraq but was low compared to the recommended rate of WHO. 

Letters to the Editor

PEDIATRICS ◽  
1995 ◽  
Vol 95 (4) ◽  
pp. 617-617
Author(s):  
Marsha Walker
Keyword(s):  
Quality Improvement ◽  
Breast Milk ◽  
Breast Feeding ◽  
Practice Parameter ◽  
Letters To The Editor ◽  
Term Newborn ◽  
Breast Fed

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.

Otitis Media in Infants

PEDIATRICS ◽  
1972 ◽  
Vol 50 (1) ◽  
pp. 167-168
Author(s):  
Ralph L. Rothstein
Keyword(s):  
Breast Milk ◽  
Otitis Media ◽  
Breast Feeding ◽  
Middle Ear ◽  
Recumbent Position ◽  
Breast Fed

Dr. Bland found an increase in otitis media in bottle-fed versus breast-fed infants. He speculates that this may be due to transfer of IgA in breast milk. Another possibility is that the increased incidence of otitis is due to positional differences between bottle- and breast-feeding. Bottle babies are often fed in the recumbent position which promotes entry of milk into the eustachian tubes and the middle ear, whereas the anatomy of the maternal breast requires that the infant's head be vertical during feeding. This concept of positional otitis has been recently reviewed.

Lactic Acid and Breast-Feeding

PEDIATRICS ◽  
1993 ◽  
Vol 91 (5) ◽  
pp. 1016-1016
Author(s):  
MARSHA WALKER
Keyword(s):  
Lactic Acid ◽  
Breast Milk ◽  
Breast Feeding ◽  
Breast Fed

To the Editor.— I read the article, "Infant Acceptance of Postexercise Breast Milk" (Pediatrics 1992;89:1245-1247). Although it may be noteworthy that postexercise breast milk contains higher levels of lactic acid which change its taste, does this observation necessitate the recommendation to give a breast-fed baby supplemental feedings after the mother exercises? If the mother feeds the baby before exercising and the baby requires another feeding after the exercise, it is highly unlikely that he will suffer from caloric deprivation or malnutrition if he does not take a full feeding at that time.

Infant Automobile Restraint Systems: Beware of the Sun

PEDIATRICS ◽  
1980 ◽  
Vol 65 (3) ◽  
pp. 625-626
Author(s):  
Fred Hankin ◽  
Fred Vermeulen
Keyword(s):  
Case Report ◽  
Motor Vehicle ◽  
Female Infant ◽  
Insurance Companies ◽  
White Female ◽  
The Sun ◽  
Adverse Incident ◽  
Infant Safety

The use of infant safety seats in automobiles has become a standard recommendation of physicians, insurance companies, and various organizations. The efficacy of these devices in the prevention of serious motor vehicle trauma is well recognized.1-7 We report an adverse incident involving such a restraining device. CASE REPORT J.R. is a 12-week-old white female infant who was secured in such a restrainer seat in the recommended manner. The day of admission was an unusually sunny spring afternoon and the child was wearing only a T-shirt and a diaper. Persistent crying by the child for 15 minutes led to the discovery of a blister 3 cm in diameter on the exposed portion of the patient's anterior right thigh (Figure).

Executive Summary

PEDIATRICS ◽  
1984 ◽  
Vol 74 (4) ◽  
pp. 579-583
Keyword(s):  
Developing Countries ◽  
Breast Milk ◽  
Infant Feeding ◽  
Breast Feeding ◽  
Maternal Employment ◽  
The United States ◽  
Attitudinal Factors ◽  
Rate Of Increase ◽  
Breast Feed ◽  
Breast Fed

Domestic Although the rate of breast-feeding is increasing in the United States, it appears that the rate of increase has been much slower among less well educated and economically disadvantaged women. Relatively little is known about the behavioral and attitudinal factors that affect the decisions to breast-feed or to stop if already breast-feeding. Breast-feeding does appear to decrease an infant's risk of gastrointestinal infection and otitis media. The effect of method of infant feeding on risk of other infections and allergic illness is less certain. International The rate of breast-feeding in developing countries appears to have declined, especially among urban women. Although some sociodemographic correlates of infant-feeding choice have been examined, little is known about the behavioral and attitudinal factors that influence choice and duration of infant-feeding practices. Milk insufficiency, maternal employment, and pregnancy frequently are given as reasons for terminating breast-feeding. Rates of gastrointestinal illness are lower among breast-fed infants and when such illness is an important cause of death, infant mortality from this cause appears to be reduced. A randomized clinical trial carried out among high-risk infants found a significantly lower rate of infections among those given breast milk than those fed with infant formula. The evidence of the effect of breast-feeding on respiratory tract and other infections from other studies was less clear. Direct comparison of the growth of predominately breast-fed v artificially fed infants in the same populations from developing countries generally show faster growth for the breast-fed infants for the first 6 months of life. After 6 months, severe growth faltering occurs regardless of the method of feeding. In communities where the nutritional adequacy of supplementary foods is poor, breast milk is an extremely important, high-quality food during the second half of infancy and beyond.

Birth Interval Among Breast-Feeding Women Not Using Contraceptives

PEDIATRICS ◽  
1990 ◽  
Vol 86 (5) ◽  
pp. 747-752
Author(s):  
Audrey E. Rosner ◽  
Susan K. Schulman
Keyword(s):  
Breast Feeding ◽  
Birth Control ◽  
Birth Interval ◽  
Formula Feeding ◽  
Orthodox Jewish ◽  
Birth Intervals ◽  
Total Birth ◽  
Night Feeding ◽  
Lactational Amenorrhea ◽  
Breast Fed

One hundred twelve Orthodox Jewish mothers were surveyed by means of questionnaire about birth interval in relationship to formula-feeding (n = 30) and breast-feeding (n = 236) experiences in the absence of birth control. Analyses indicate that mothers who breast-fed have longer birth intervals than those who did not. Moreover, data obtained from the same mothers show that birth intervals preceded by breast-feeding were longer than those preceded by formula-feeding of the previous infant. For those mothers who breast-fed, there was significant positive correlation between duration of breast-feeding and the length of lactational amenorrhea and total birth interval. The age at which night feeding was terminated had corresponding but less strong associations with lactational amenorrhea and total birth interval.

When Should One Discourage Breast-feeding

PEDIATRICS ◽  
1981 ◽  
Vol 67 (2) ◽  
pp. 300-302
Author(s):  
Lawrence R. Berger
Keyword(s):  
Breast Milk ◽  
Breast Feeding ◽  
Psychosocial Aspects ◽  
Rich Source ◽  
Rare Disorder ◽  
Absolute Contraindication ◽  
Low Levels ◽  
Breast Fed

Breast-feeding has advantages in terms of psychosocial aspects, maternal considerations, and infant factors.1-3 Within these same broad areas, I want to address circumstances in which reservations about breast-feeding should be considered. In terms of infant conditions, galactosemia is clearly an absolute contraindication to breast-feeding. Breast milk is a rich source of lactose, and the very survival of infants with galactosemia is dependent on their receiving a non-lactose-containing formula. Of course, galactosemia is a rare disorder, occurring in approximately 1:60,000 births. Phenylketonuria is often mentioned as another contraindication to breast-feeding. Breast milk, however, has relatively low levels of phenylalanine; in fact, infants who are exclusively breast-fed may receive a phenylalanine intake near the amount recommended for treating phenylketonuria.4

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