Risk Factors for Suboptimal Infant Breastfeeding Behavior, Delayed Onset of Lactation, and Excess Neonatal Weight Loss

Dewey, Kathryn G.; Nommsen‐Rivers, Laurie; Heinig, M. Jane; Cohen, Roberta J.

doi:10.1542/peds.112.3.607

Cited by 619 publications

(603 citation statements)

References 31 publications

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“…The results of our study are also relevant to other studies that have linked maternal or neonatal stress during labor with delayed lactogenesis [31,32,[37][38][39][40]. Some of these studies included women who placed the newborns to their breast immediately after delivery, excluding incomplete breast evacuation from delayed lactogenesis factors [1].…”

Section: Laborduration(hours)mentioning

confidence: 52%

Evaluation of the effect of natural and emotional stress of labor on lactation and breast-feeding

Dimitraki

Tsikouras

Manav

et al. 2015

Arch Gynecol Obstet

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Section: Laborduration(hours)mentioning

confidence: 52%

Evaluation of the effect of natural and emotional stress of labor on lactation and breast-feeding

Dimitraki

Tsikouras

Manav

et al. 2015

Arch Gynecol Obstet

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“…, 5 , 11 , 15 , 20 - 22 Thus, 2.45 to 25%21 of newborns lose more than 10% of weight according to studies with different types of feeding. The absence of newborns with weight loss>10% has also been described 3…”

Section: Discussionmentioning

confidence: 99%

Excessive weight loss in exclusively breastfed full-term newborns in a Baby-Friendly Hospital

Mezzacappa

Ferreira

2016

Revista Paulista de Pediatria (English Edition)

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Objective:To determine the risk factors for weight loss over 8% in full-term newborns at postpartum discharge from a Baby Friendly Hospital.Methods:The cases were selected from a cohort of infants belonging to a previous study. Healthy full-term newborns with birth weight ≥2.000g, who were exclusively breastfed were included and excluded twins and those undergoing phototherapy as well as those discharged after 96h of life. The analyzed maternal and neonatal variables were maternal age, parity, ethnicity, type of delivery, maternal diabetes, gender, gestational age and appropriate weight for age. Adjusted multiple and univariate Cox regression analyses were used, considering as significant p<0.05.Results:We studied 414 newborns, of whom 107 (25.8%) had excessive weight loss. Through the univariate regression, risk factors associated with weight loss>8% were cesarean delivery and older maternal age. At the adjusted multiple regression analysis, the model to explain the weight loss was cesarean delivery (Relative risk 2.27, 95% of Confidence Interval 1.54–3.35).Conclusions:The independent predictor for weight loss>8% in exclusively breastfed full-term newborns in a Baby-Friendly Hospital was the cesarean delivery. It is possible to reduce the number of cesarean sections to minimize neonatal excessive weight loss and the resulting use of infant formula during the first week of life.

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“…The factors that are responsible for this phenomenon probably lie in the delayed start of lactation and in poorer drinking patterns at the breast following caesarean section [4,16].…”

Section: Discussionmentioning

confidence: 99%

Prevention of hypernatraemic dehydration in breastfed newborn infants by daily weighing

2008

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Hypernatraemic dehydration, which predominantly appears in breastfed neonates, can cause serious complications, such as convulsions, permanent brain damage and death, if recognised late. Weight loss ≥10% of birth weight could be an early indicator for this condition. In this prospective cohort study from October 2003 to June 2005 in the postnatal ward of the University Hospital Zurich, Switzerland, all term newborns with birth weight ≥2,500 g were weighed daily until discharge. When the weight loss was ≥10% of birth weight, serum sodium was measured from a heel prick. Infants with moderate hypernatraemia (serum sodium=146-149 mmol/l) were fed supplementary formula milk or maltodextrose 10%. Infants with severe hypernatraemia (serum sodium ≥150 mmol/l) were admitted to the neonatal unit and treated in the same way, with or without intravenous fluids, depending on the severity of the clinical signs of dehydration. A total of 2,788 breastfed healthy term newborns were enrolled. Sixty-seven (2.4%) newborns had a weight loss ≥10% of birth weight; 24 (36%) of these had moderate and 18 (27%) severe hypernatraemia. Infants born by caesarean section had a 3.4 times higher risk for hypernatraemia than those born vaginally. All newborns regained weight 24 h after additional fluids. Conclusion: In our study, one out of 66 healthy exclusively breastfed term neonates developed hypernatraemic dehydration. Daily weight monitoring and supplemental fluids in the presence of weight loss ≥10% of birth weight allows early detection and intervention, thereby preventing the severe sequellae of hypernatraemic dehydration.

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Risk Factors for Suboptimal Infant Breastfeeding Behavior, Delayed Onset of Lactation, and Excess Neonatal Weight Loss

Cited by 619 publications

References 31 publications

Evaluation of the effect of natural and emotional stress of labor on lactation and breast-feeding

Evaluation of the effect of natural and emotional stress of labor on lactation and breast-feeding

Excessive weight loss in exclusively breastfed full-term newborns in a Baby-Friendly Hospital

Prevention of hypernatraemic dehydration in breastfed newborn infants by daily weighing

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