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Excessive weight loss in breastfed infants during the postpartum hospitalization
Journal article   Open access   Peer reviewed

Excessive weight loss in breastfed infants during the postpartum hospitalization

Pamela J. Mulder, Teresa S Johnson and Linda C Baker
Journal of obstetric, gynecologic, and neonatal nursing, Vol.39(1), pp.15-26
01/01/2010
DOI: 10.1111/j.1552-6909.2009.01085.x
PMID: 20409099
url
https://doi.org/10.1111/j.1552-6909.2009.01085.xView
Published (Version of record) Open Access

Abstract

<p>OBJECTIVE: To examine differences in breastfeeding frequency, voids, and stools in infants with weight losses or =7% during the postpartum hospitalization. DESIGN: Secondary analysis of data from a primary psychometric study examining the Mother Infant Breastfeeding Progress Tool (MIBPT). Setting: A midwestern community hospital in a multicultural racially diverse community. PARTICIPANTS: Convenience sample of 53 breastfeeding women and infants hospitalized after birth. METHODS: Data were collected during a chart review; infants were divided into or =7% weight loss groups at 2 days postpartum, and breastfeeding frequency, voiding, and stooling were examined between groups and used to predict a > or =7% weight loss at 2 days postpartum. RESULTS: Of the 53 infants, 20.8% lost > or =7% of their birth weight. Infants who lost > or =7% of their birth weight had significantly more total voids and a higher breastfeeding frequency on the day of birth than infants who lost or =7% weight loss, with an odds ratio of 1.74 (95% CI=1.09, 2.75, p or =7% of their birth weight during the first 2 days postpartum might be experiencing a physiologic diuresis after birth, unrelated to their breastfeeding behaviors. More research is necessary to determine the cause of a > or =7% weight loss in newborns during the first 48 hours after birth.</p>
Nursing Statistics Adult Birth Weight/physiology Breast Feeding/statistics & numerical data Chi-Square Distribution Clinical Nursing Research Diuresis/physiology Feces Female Humans Infant Nutritional Physiological Phenomena Infant Newborn/physiology Logistic Models Male Midwestern United States Neonatal Nursing Nursing Assessment/methods/standards Pilot Projects Postpartum Period Practice Guidelines as Topic Nonparametric Time Factors Urination/physiology Weight Loss/physiology

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