Yıl 2019, Cilt 5, Sayı 2, Sayfalar 361 - 368 2019-03-04

The relationship between hypernatremia and breast milk sodium levels in newborns with hypernatremic dehydration

Leman Tekin Orgun [1] , Fusün Atlıhan [2] , Özgür Olukman [3] , Figen İşleten [4] , Ali Orgun [5] , Ferah Genel [6] , Şebnem Çalkavur [7] , İsmail Cengiz Öztürk [8] , Erhan Özbek [9]

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Objectives: Breast-feeding with high sodium content milk may cause hypernatremic dehydration in neonates (NHD). The number of cases with NHD tends to increase particularly in the higher temperature seasons. In this prospective case-control study, the relationship between NHD and breast milk sodium (Na) levels and demographic features of NHD were investigated during the summer season.

Methods: The study included term newborns admitted to the neonatal intensive care unit of our hospital with the diagnosis of hypernatremic dehydration between June 2009 and October 2009. Serum sodium level ≥ 150mEq/L was accepted as hypernatremia. Among 109 NHD patients, breast milk sodium level was evaluated in 50 cases. Term infants without hypernatremic dehydration were taken as the control group (50 cases).

Results: Postnatal age at admission ranged between 2 and 12 days and mean serum Na concentration was 152 mEq/L (150-173 mEq/L). A significant weight loss of >10% was determined in 85% of cases. Breast milk Na was significantly higher in the hypernatremic group (24.3 ± 20.3 mEq/L) compared to the control group (12.6 ± 6.79 mEq/L) (p < 0.001). In primiparous mothers, the mean breast milk Na level was statistically higher than that of multipara mothers (21.16 ± 19.9 mEq/L vs 15.48 ± 9.96 mEq/L, p < 0.016).

Conclusions: In this study, we demonstrated that high breast milk sodium level was closely related with NHD and being a primiparous mother appeared as a significant factor for high breast milk sodium content. In this respect, all pregnant women especially primiparous should be educated about infant nutrition and neonatal dehydration. Health care providers should emphasize importance of frequent milking and more fluid intake, especially in summer. 

Breast milk sodium, hypernatremic dehydration, newborn
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Yazarlar

Orcid: 0000-0002-6533-8358
Yazar: Leman Tekin Orgun (Sorumlu Yazar)
Kurum: Department of Neonatology, Dr. Behçet Uz Children Diseases and Surgery Training and Research Hospital, İzmir, Turkey
Ülke: Turkey


Orcid: 0000-0001-5689-8153
Yazar: Fusün Atlıhan
Kurum: Department of Neonatology, Dr. Behçet Uz Children Diseases and Surgery Training and Research Hospital, İzmir, Turkey
Ülke: Turkey


Orcid: 0000-0003-4006-0465
Yazar: Özgür Olukman
Kurum: Department of Neonatology, Dr. Behçet Uz Children Diseases and Surgery Training and Research Hospital, İzmir, Turkey
Ülke: Turkey


Orcid: 0000-0002-2826-5479
Yazar: Figen İşleten
Kurum: Department of Biochemistry, Dr. Behçet Uz Children Diseases and Surgery Training and Research Hospital, İzmir, Turkey
Ülke: Turkey


Orcid: 0000-0003-1604-270X
Yazar: Ali Orgun
Kurum: Department of Neonatology, Dr. Behçet Uz Children Diseases and Surgery Training and Research Hospital, İzmir, Turkey
Ülke: Turkey


Orcid: 0000-0002-9976-067X
Yazar: Ferah Genel
Kurum: Department of Neonatology, Dr. Behçet Uz Children Diseases and Surgery Training and Research Hospital, İzmir, Turkey
Ülke: Turkey


Orcid: 0000-0002-3820-2690
Yazar: Şebnem Çalkavur
Kurum: Department of Neonatology, Dr. Behçet Uz Children Diseases and Surgery Training and Research Hospital, İzmir, Turkey
Ülke: Turkey


Orcid: 0000-0003-2237-4137
Yazar: İsmail Cengiz Öztürk
Kurum: Department of Neonatology, Dr. Behçet Uz Children Diseases and Surgery Training and Research Hospital, İzmir, Turkey
Ülke: Turkey


Orcid: 0000-0002-5299-3935
Yazar: Erhan Özbek
Kurum: Department of Neonatology, Dr. Behçet Uz Children Diseases and Surgery Training and Research Hospital, İzmir, Turkey
Ülke: Turkey


Bibtex @araştırma makalesi { eurj373386, journal = {The European Research Journal}, issn = {}, eissn = {2149-3189}, address = {Sağlık Araştırmaları ve Stratejileri Derneği}, year = {2019}, volume = {5}, pages = {361 - 368}, doi = {10.18621/eurj.373386}, title = {The relationship between hypernatremia and breast milk sodium levels in newborns with hypernatremic dehydration}, key = {cite}, author = {Tekin Orgun, Leman and Atlıhan, Fusün and Olukman, Özgür and İşleten, Figen and Orgun, Ali and Genel, Ferah and Çalkavur, Şebnem and Öztürk, İsmail Cengiz and Özbek, Erhan} }
APA Tekin Orgun, L , Atlıhan, F , Olukman, Ö , İşleten, F , Orgun, A , Genel, F , Çalkavur, Ş , Öztürk, İ , Özbek, E . (2019). The relationship between hypernatremia and breast milk sodium levels in newborns with hypernatremic dehydration. The European Research Journal, 5 (2), 361-368. DOI: 10.18621/eurj.373386
MLA Tekin Orgun, L , Atlıhan, F , Olukman, Ö , İşleten, F , Orgun, A , Genel, F , Çalkavur, Ş , Öztürk, İ , Özbek, E . "The relationship between hypernatremia and breast milk sodium levels in newborns with hypernatremic dehydration". The European Research Journal 5 (2019): 361-368 <http://dergipark.gov.tr/eurj/issue/41339/373386>
Chicago Tekin Orgun, L , Atlıhan, F , Olukman, Ö , İşleten, F , Orgun, A , Genel, F , Çalkavur, Ş , Öztürk, İ , Özbek, E . "The relationship between hypernatremia and breast milk sodium levels in newborns with hypernatremic dehydration". The European Research Journal 5 (2019): 361-368
RIS TY - JOUR T1 - The relationship between hypernatremia and breast milk sodium levels in newborns with hypernatremic dehydration AU - Leman Tekin Orgun , Fusün Atlıhan , Özgür Olukman , Figen İşleten , Ali Orgun , Ferah Genel , Şebnem Çalkavur , İsmail Cengiz Öztürk , Erhan Özbek Y1 - 2019 PY - 2019 N1 - doi: 10.18621/eurj.373386 DO - 10.18621/eurj.373386 T2 - The European Research Journal JF - Journal JO - JOR SP - 361 EP - 368 VL - 5 IS - 2 SN - -2149-3189 M3 - doi: 10.18621/eurj.373386 UR - http://dx.doi.org/10.18621/eurj.373386 Y2 - 2018 ER -
EndNote %0 The European Research Journal The relationship between hypernatremia and breast milk sodium levels in newborns with hypernatremic dehydration %A Leman Tekin Orgun , Fusün Atlıhan , Özgür Olukman , Figen İşleten , Ali Orgun , Ferah Genel , Şebnem Çalkavur , İsmail Cengiz Öztürk , Erhan Özbek %T The relationship between hypernatremia and breast milk sodium levels in newborns with hypernatremic dehydration %D 2019 %J The European Research Journal %P -2149-3189 %V 5 %N 2 %R doi: 10.18621/eurj.373386 %U 10.18621/eurj.373386
ISNAD Tekin Orgun, Leman , Atlıhan, Fusün , Olukman, Özgür , İşleten, Figen , Orgun, Ali , Genel, Ferah , Çalkavur, Şebnem , Öztürk, İsmail Cengiz , Özbek, Erhan . "The relationship between hypernatremia and breast milk sodium levels in newborns with hypernatremic dehydration". The European Research Journal 5 / 2 (Mart 2019): 361-368. http://dx.doi.org/10.18621/eurj.373386