Vatansever, UelfetDuran, RidvanAcunas, Betuel2024-06-122024-06-1220071301-3149https://hdl.handle.net/20.500.14551/19360Objective: The characteristic features of exclusively breast-fed infants with hypernatremic dehydration in our neonatal intensive care unit were evaluated. Patients and Methods: Within the last two years, fourteen exclusively breast-fed newborn infants (10 females, 4 males; mean gestational age 38 +/- 1.7; range 34 to 40 weeks) whose serum sodium level was equal to or greater than 150 mEq/L with signs of dehydration were evaluated from clinical charts retrospectively. Results: 71% of all cases were girls. Mean birth weight was 3020 +/- 715 gr. 93% of the cases were AGA and 78.6% were first child of the family. Mean age of mothers was 28 +/- 5.4 years. 57% of the cases were born by cesarean and 57% were referred to our hospital from different hospitals. The most common presenting complaint was fever and refusing sucking; and mean application time was 5.5 +/- 4.6 days. On the admission, mean weight loss was 14.5 +/- 9.1%, serum sodium level 158.5 +/- 14 mEq/L, serum urea level 73 +/- 109 mg/d, serum creatinine level 1.2 +/- 2.1 mg/dl, and serum osmolarity 338 +/- 35 mOsmol/L. Conclusion: It was remarkable that the cases were mostly first babies and born by cesarean section. A possible solution for hypernatremic dehydration would be to provide breast feeding consultancy to mothers.eninfo:eu-repo/semantics/closedAccessBreast FeedingDehydrationHypernatremiaInfantNewbornFeeding MalnutritionOnsetArticle243190193N/AWOS:000257677100002