Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
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Severe hypernatremic dehydration in a breast-fed neonate

모유 수유 환아에서 발생한 심한 고나트륨혈성 탈수

  • Oh, Yun Jung (Department of Pediatrics, College of medicine, Inha University) ;
  • Lee, Ji Eun (Department of Pediatrics, College of medicine, Inha University) ;
  • An, So Hyun (Department of Pediatrics, College of medicine, Inha University) ;
  • Kim, Yang Kyong (Department of Pediatrics, College of medicine, Inha University) ;
  • Kang, Sung Kil (Department of Pediatrics, College of medicine, Inha University) ;
  • Kim, Ja Kyoung (Department of Pediatrics, College of medicine, Kangwon National University) ;
  • Son, Byong Kwan (Department of Pediatrics, College of medicine, Inha University) ;
  • Jun, Yong Hoon (Department of Pediatrics, College of medicine, Inha University)
  • 오윤정 (인하대학교 의과대학 소아과학교실) ;
  • 이지은 (인하대학교 의과대학 소아과학교실) ;
  • 안소현 (인하대학교 의과대학 소아과학교실) ;
  • 김양경 (인하대학교 의과대학 소아과학교실) ;
  • 강성길 (인하대학교 의과대학 소아과학교실) ;
  • 김자경 (강원대학교 의과대학 소아과학교실) ;
  • 손병관 (인하대학교 의과대학 소아과학교실) ;
  • 전용훈 (인하대학교 의과대학 소아과학교실)
  • Received : 2006.09.15
  • Accepted : 2006.10.27
  • Published : 2007.01.15
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Abstract

Although it is a rare condition, breast-feeding may result in hypernatremic dehydration. However, incidences might be increasing with more mothers breast-feeding. Although the early detection and management of hypernatremic dehydration from breast-feeding is important, its prevention is even more important on account of its serious complications. In order to prevent hypernatremic dehydration secondary to breast-feeding, it is essential to educate mothers in successful breast-feeding methods. An early follow-up after discharge is recommended. We report a case of hypernatremic dehydration secondary to breast-feeding in a full-term newborn that was corrected without any complications.

모유 수유로 인한 고나트륨혈성 탈수는 흔하지는 않으나, 최근 모유 수유가 증가하면서 그 빈도가 증가할 수 있다. 고나트륨혈증은 여러 심각한 합병증을 초래할 수 있으므로 조기에 발견하여 치료해야 하며, 무엇보다 예방이 중요하다. 모유 수유로 인한 고나트륨혈성 탈수의 예방을 위해서는 모유 수유에 대한 올바른 교육과 퇴원 후 조기 추적 관찰이 중요하다. 저자들은 정상 신생아에서 아무런 합병증 없이 치료된 모유 수유로 인한 고나트륨혈성 탈수를 경험하였기에 이를 보고하는 바이다.

Keywords

References

  1. Kaplan JA, Siegler RW, Schmunk GA. Fatal hypernatremic dehydration in exclusively breast-fed newborn infants due to maternal lactation failure. Am J Forensic Med Pathol 1998;19:19-22 https://doi.org/10.1097/00000433-199803000-00003
  2. Thullen JD. Management of hypernatremic dehydration due to insufficient lactation. Clin Pediatr (Phila) 1988;27:370-2 https://doi.org/10.1177/000992288802700803
  3. Cooper WO, Atherton HD, Kahana M, Kotagal UR. Increased incidence of severe breastfeeding malnutrition and hypernatremia in a metropolitan area. Pediatrics 1995;96:957-60
  4. Smith RG. Severe hypernatremic dehydration in a newborn infant. J Pediatr child Health 1998;3:413-5 https://doi.org/10.1093/pch/3.6.413
  5. Penalver Giner O, Gisbert Mestre J, Casero soriano J, Bernal Ferrer A, Oltra Beravent M, Tomas Vila M. Hypernatremic dehydration associated with breast-feeding. An Pediatr (Barc) 2004;61:340-3 https://doi.org/10.1157/13066432
  6. Park KP, Kim JK, Kim HM. A case of hypernatremic dehydration in an excusively breast-fed newborn infant. J Korean Pediatr Soc 2002:45:790-5
  7. Ng PC, Chan HB, Fok TF, Lee CH, Chan KM, Wong W, et al. Early onset of hypernatremic dehydration and fever in exclusively breast-fed infants. J Paediatr Child Health 1999;35:585-7
  8. Oddie S, Richmond S, Coulthard M. Hypernatremic dehydration and breast feeding: a population study. Arch Dis Child 2001;85:318-20 https://doi.org/10.1136/adc.85.4.318
  9. Van der Heide PA, Toet MC, van Diemen-Steenvoorde JA, Renardel de Lavalette PA, de Jonge GA. Hypertonic dehydration in 'silent' malnutrition of breast-fed infants. Ned Tijdschr Geneeskd 1998;142:993-5
  10. Paul AC, Ranjini K, Muthulakshmi, Roy A, Kirubakaran C. Malnutrition and hypernatraemia in breastfed babies. Ann Trop Paediatr 2000;20:179-83 https://doi.org/10.1080/02724936.2000.11748131
  11. Harding D, Cairns P, Gupta S, Cowan F. Hypernatremia: why bother weighing breast fed babies? Arch Dis Child Fetal Neonatal Ed 2001;85:145 https://doi.org/10.1136/fn.85.2.F145
  12. Sofer S, Ben-Ezer D, Dagan R. Early severe dehydration in young breast-fed newborn infants. Isr J Med Sci 1993;29:85-9
  13. Heldrich FJ, Shaw SS. Case report and review of literature: hypernatremia in breast-fed infants. Md Med J 1990;39:475-8
  14. Livingstone VH, Willis CE, Abdel-Wareth LO, Thiessen P, Lockitch G. Neonatal hypernatremic dehydration associated with breast-feeding malnutrition: a retrospective survey. CMAJ 2000;162:647-52