2012, Number 3
<< Back Next >>
An Med Asoc Med Hosp ABC 2012; 57 (3)
Weight loss in low risk neonates before discharge from the nursery
Tavera HM, Zamorano JCA, Richheimer WR
Language: Spanish
References: 26
Page: 178-184
PDF size: 59.37 Kb.
ABSTRACT
There are few studies on weight variation in healthy newborns older than 35 weeks gestation. The objective of this study was to compare birth weight and weight loss in these neonates during their hospital stay; according to gender, gestational age and type of feeding.
Results: We analyzed 865 newborns; 408 (47.2%) were female and 457 (52.8%) male, with mean gestational age of 38.5 ± 1.2 weeks and mean birth weight of 3,055.6 ± 410.2 grams. Male newborns had higher birth weight than their female counterparts. Ninety-one percent had a mean weight loss of 4.3 ± 2.2% after 72 hours, with no statistically significant difference between genders. Neonates who were mainly breast-fed, lost more weight at 24 and 48 hours (4.6, 4.9 and 5.4% respectively) than those who were mainly formula-fed (2.8, 3.9 and 4% respectively).
Conclusions: Weight loss in newborns is a common event in the first week of life and it was higher in newborns who were breast-fed than in those who were mainly formula-fed. An important proportion of this normal weight loss occurs during the first three days after birth.
REFERENCES
Velásquez J. Alteraciones hidroelectrolíticas en pediatría. México: Ediciones Médicas del Hospital Infantil de México «Federico Gómez»; 1991: 1-3.
Baumgart S, Langman CB, Sosulski R, Fox WW, Polin RA. Fluid, electrolyte, and glucose maintenance in the very low birth weight infant. Clin Pediatr (Phila) 1982; 21 (4): 199-206.
Dollberg S, Demarini S, Donovan EF, Hoath SB. Maturation of thermal capabilities in preterm infants. Am J Perinatol 2000; 17 (1): 47-51.
Podratz RO, Broughton DD, Gustafson DH, Bergstralh EJ et al. Weight Loss and Body Temperature Changes in Breast-fed and Bottle-fed Neonates. Clin Ped 1986; 25: 73-77.
Behrman RE, Kliegman RM, Jenson HB. Nelson, Tratado de Pediatría. 15a ed. Madrid: McGraw Hill Interamericana; 1997: 45-49.
Pais T, Gutiérrez S. Crecimiento de los niños amamantados el primer mes de vida. Rev Med Uruguay 2003; 19: 201-207.
Maisels MJ, Gifford K. Breast feeding, weight loss and jaundice. J Pediatr 1983; 102: 117-118.
Macdonald PD, Ross SRM, Grant L, Young D. Neonatal weight loss in breast and formula fed infants. Arch Dis Child Fetal Neonatal Ed 2003; 88: F472-F476.
Dollberg S, Lahav S, Minouni FB. A comparison of intakes of breast-fed and bottle-fed infants during the first two days of life. J Am Coll Nutr 2001; 20: 209-211.
Ramos G. Alimentación normal en niños y adolescentes. Teoría y práctica. México: Manual Moderno; 1985: 557-559.
American Academy of Pediatrics Committee on Fetus and Newborn. Hospital stay for healthy term newborns. Pediatrics 2004; 113(5): 1434-1436.
Petrone E, Mansi G, Tosco A, Capasso L, Migliaro F, Umbaldo A et al. Early hospital discharge of the healthy term neonate: the Italian perspective. Minerva Pediatr 2008; 60 (3): 273-276.
Ellberg L, Högberg U, Lundman B, Källén K, Håkansson S, Lindh V. Maternity care options influence readmission of newborns. Acta Paediatr 2008; 97 (5): 579-583.
Paul IM, Lehman EB, Hollenbeak CS, Maisels MJ. Preventable newborn readmissions since passage of the newborns and mothers health protection act. Pediatrics 2006; 118 (6): 2349-2358.
Fields DA, Krishnan S, Wisniewski AB. Sex differences in body composition early in life. Gend Med 2009; 6 (2): 369-375.
Flaherman VJ, Bokser S, Newman TB. First-day newborn weight loss predicts in-hospital weight nadir for breastfeeding infants. Breastfeed Med 2010; 5 (4): 165-168.
Noel-Weiss J, Woodend AK, Groll DL. Iatrogenic newborn weight loss: knowledge translation using a study protocol for your maternity setting. Int Breastfeed J 2011; 6 (1): 10.
Noel-Weiss J, Woodend AK, Peterson W, Gibb W, Groll DL. An observational study of associations among maternal fluids during parturition, neonatal output, and breastfed newborn weight loss. Int Breastfeed J 2011; 6: 9.
Mulder PJ, Johnson TS, Baker LC. Excessive weight loss in breastfed infants during the postpartum hospitalization. J Obstet Gynecol Neonatal Nurs 2010; 39: 15-26.
Crossland DS, Richmond S, Hudson M, Smith K, Abu-Harb M. Weight change in the term baby in the first 2 weeks of life. Acta Paediatr 2008; 97: 425-429.
DeMarzo S, Seacat J, Neifert M. Initial weight loss and return to birth weight criteria for breast-fed infants: challenging the «rule of thumb». Am J Dis Child 1991; 17 (1): 31-38.
Bhat SR, Lewis P, David A, Liza SrM. Dehydration and hypernatremia in breast-fed term healthy neonates. Indian J Pediatr 2006; 73 (1): 39-41.
Manganaro R, Mamì C, Marrone T, Marseglia L, Gemelli M. Incidence of dehydration and hypernatremia in exclusively breast-fed infants. J Pediatr 2001; 139 (5): 673-675.
Macdonald PD. Postnatal weight monitoring should be routine. Arch Dis Child 2007; 92: 374-375.
McKie A, Young D, Macdonald PD. Does monitoring newborn weight discourage breastfeeding? Arch Dis Child 2006; 91: 44-46.
Shroff R, Hignett R, Pierce C et al. Life-threatening hypernatraemic dehydration in breastfed babies. Arch Dis Child 2006; 91: 1025-1026.