Print Email Facebook Twitter A nationwide study on hospital admissions due to dehydration in exclusively breastfed infants in the Netherlands: Its incidence, clinical characteristics, treatment and outcome Title A nationwide study on hospital admissions due to dehydration in exclusively breastfed infants in the Netherlands: Its incidence, clinical characteristics, treatment and outcome Author Pelleboer, R.A.A. Bontemps, S.T.H. Verkerk, P.H. van Dommelen, P. Pereira, R.R. van Wouwe, J.P. TNO Kwaliteit van Leven Publication year 2009 Abstract Aims: To estimate the incidence and clinical characteristics in hospital admissions due to dehydration or undernutrition and their laboratory evaluation and treatment outcome in exclusively breastfed infants. Methods: All hospital admissions during the first 3 months of life assessed by the Dutch Paediatric Surveillance Unit (DPSU) between mid 2003 and mid 2005. Results: Nationwide 158 cases reported, correspond to an incidence of 58/y/100 000 breastfed infants; it is lower for severe dehydration at risk for hypernatraemia; 20/y/100 000. Sixty-five per cent of cases were <2 weeks old, their median weight loss was 9.3% and median age at admission 5 days; Serum sodium value was measured in only 12% of all cases. Insufficient volume intake and inadequate growth were most frequently reported (61% and 41%). Lethargy, jaundice or clinical dehydration was scored in 11-25%, seizures or shock in 3%. A breast pump at home was used in only 31%. In the hospital breast pumps were available (82%) as lactation consultants (73%). For treatment 65% was offered formula, in 30% by nasogastric drip. Most admissions lasted up to 3 days, all recovered fully and 33% were breastfed exclusively at discharge. Conclusion: The incidence of severe dehydration in the Netherlands is relatively low. With extended use of breast pumps at home it could be lower. To prevent complications, we recommend applying a reference weight chart, a full clinical examination and more extensive screening of serum sodium and glucose. ©2009 Foundation Acta Pædiatrica/Acta Pædiatrica. Subject HealthJeugd en GezondheidEpidemiologySodiumArtificial milkBreast milkBreast pumpClinical examinationClinical featureControlled studyGlucose blood levelHospital admissionHumanHypernatremiaIncidenceJaundiceLaboratory testLethargyMajor clinical studyMalnutritionRisk assessmentScoring systemSeizureShockSodium blood levelWeight reductionBreast FeedingDehydrationFemaleHospitalizationHumansIncidenceInfantInfant, NewbornMaleNational Health ProgramsNetherlandsTreatment Outcome To reference this document use: http://resolver.tudelft.nl/uuid:7fa67067-ed54-4e84-ba3e-ba3bb44cc71e DOI https://doi.org/10.1111/j.1651-2227.2009.01230.x TNO identifier 241501 ISSN 0803-5253 Source Acta Paediatrica, International Journal of Paediatrics, 98 (5), 807-811 Document type article Files To receive the publication files, please send an e-mail request to TNO Library.