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Hydration Status of Exclusively and Partially Breastfed Near-Term Newborns in the First Week of Life

Department of Pediatrics at the Post Graduate Institute of Medical Education and Research, Chandigarh, India

Sunil Kumar Agrawal, MD

Department of Pediatrics at the Post Graduate Institute of Medical Education and Research, Chandigarh, India

Praveen Kumar, MD, DM

Department of Pediatrics at the Post Graduate Institute of Medical Education and Research, Chandigarh, India

Anil Narang, MD

Department of Pediatrics at the Post Graduate Institute of Medical Education and Research, Chandigarh, India

Rajendra Prasad, MD

Department of Biochemistry at the Post Graduate Institute of Medical Education and Research, Chandigarh, India

Se hizo un estudio de cohorte prospectivo observacional intra-hospitalario para evaluar los efectos del tipo de alimentación (lactancia maternal exclusiva [LME] vs lactancia parcial [LP]) en el estado de hidratación de recién nacidos casi a termino en la primera semana de vida. Se reclutaron 205 bebes de 35 a 37 semanas de gestación (82 en el grupo de LME y 123 en el de LP). La incidencia general de perdida de peso significativa ( 10%) fue de 18% sin diferencia significativa entre los grupos de LME y LP (18.3% vs 17.9%, P = .94). La incidencia de hipernatremia (niveles de NA en el suero 150 meq/L) fue de 2.4% en LME y 5.7% en el grupo de LP (P = .32). Los factores que se asociaron significativamente a la perdida de peso en el total del cohorte fueron: tener una madre que tuvo anteriormente una experiencia negativa con la lactancia materna (OR ajustado = 15.5, 95% CI = 2.1-115.7), exposición a fototerapia (OR ajustado = 9.0, 95% CI = 2.5-31.8) y parto por cesárea (OR ajustado = 6.7, 95% CI = 2.3-19.7).

This version was published on August 1, 2009

Journal of Human Lactation, Vol. 25, No. 3, 280-286 (2009)
DOI: 10.1177/0890334408324453


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