PEDIATRICS Vol. 63 No. 6 June 1979, pp. 931-932
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Hypernatremic Dehydration Resulting From Inadequate Breast-Feeding

Thomas A. Clarke M.B., F.R.C.P.(C)1, Marguetrite Markarian M.D.1, William Griswold M.D.1, and Stanley Mendoza M.D.1

1 Divisions of Perinatal-Neonatal Medicine and Nephrology, Department of Pediatrics, University of California at San Diego Lajolla, California

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.




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