{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T16:17:34Z","timestamp":1787847454905,"version":"build-2784847793"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,2,17]],"date-time":"2021-02-17T00:00:00Z","timestamp":1613520000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Excessive weight loss enhances the incidence of neonatal hypernatremic dehydration (NHD). We compared the effect of a new breastfeeding policy against an old breastfeeding policy on neonatal weight change and the incidence of NHD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      This was a QA project between two sets of breastfeeding (BF) protocols for exclusively BF newborns. Under our old BF policy, a number of neonates had a significant loss of weight\n                      <jats:bold>after birth and were admitted to the NICU due to NHD. We implemented a new BF policy that was used when a newborn loses&gt;5% of previously recorded weight within a 24-h interval. Two groups were compared: the preintervention group (old BF policy) and postintervention group (new BF policy). Additionally, characteristics of newborns admitted to NICU were separately compared with the subgroup of pre- and post intervention dehydration groups<\/jats:bold>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Preintervention = 1320 and postintervention = 1450. Neonates with weight loss of &gt; 5% within the first 24-h time interval were higher in the postintervention group (19.7%) as compared to the pre-intervention group (10.2%) (P &lt; .05). However, the number of infants diagnosed to have NHD was lower in the postintervention group (0.68%) than in the preintervention group (1.66%), (P &lt; .03). Neonatal characteristics were comparable between subgroups of dehydration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>An intervention at \u2265 5% neonatal weight loss markedly reduces the incidence of NHD- associated NICU admissions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijpam.2021.02.004","type":"journal-article","created":{"date-parts":[[2021,2,24]],"date-time":"2021-02-24T23:38:03Z","timestamp":1614209883000},"page":"22-26","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Weight loss monitoring reduces the occurrence of neonatal hypernatremic dehydration in breastfeeding neonates"],"prefix":"10.4103","volume":"9","author":[{"given":"Muhammad TK.","family":"Zia","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio","family":"Golombek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabrina","family":"Nitkowski-Keever","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Umesh","family":"Paudel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-5-20240903","first-page":"159","article-title":"Breastfeeding and brain development","volume":"48","author":"Reynolds","year":"2001","journal-title":"Pediatr Clin"},{"key":"R2-5-20240903","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1089\/bfm.2016.0077","article-title":"Hypernatremic dehydration in breastfed term infants: retrospective evaluation of 159 cases","volume":"12","author":"\u00dcnver","year":"2017","journal-title":"Breastfeed 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