ACUTE MATERNAL HYDRATION IN THIRD-TRIMESTER OLIGOHYDRAMNIOS: EFFECTS ON AMNIOTIC FLUID VOLUME, UTEROPLACENTAL PERFUSION, AND FETAL BLOOD FLOW AND URINE OUTPUT.

OBJECTIVE: Our purpose was to determine whether acute maternal hydration in pregnancies with third-trimester oligohydramnios (1) increases amniotic fluid index and hourly fetal urine production rate and (2) alters uteroplacental perfusion and fetal blood flow. STUDY DESIGN: Ten women with third-trimester oligohydramnios (amniotic fluid index < or = 5 cm) and 10 controls with normal [...]

By |2013-01-31T18:33:08+00:00enero 31st, 2013|Pregnancy and infancy, Scientific papers|0 Comments

MATERNAL HYDRATION INCREASES AMNIOTIC FLUID INDEX IN WOMEN WITH NORMAL AMNIOTIC FLUID.

OBJECTIVE: To test the hypothesis that maternal oral hydration would increase the amniotic fluid (AF) index in pregnancies with normal AF. METHODS: Forty women with a normal AF index (7.0-24.0 cm) were randomized to either the control or hydration group. Women in the hydration group drank 2 L of water and returned for the post-treatment [...]

By |2013-01-31T18:33:08+00:00enero 31st, 2013|Pregnancy and infancy, Scientific papers|0 Comments

Breastfeeding-associated neonatal hypernatremic dehydration in a medical center: a clinical investigation

BACKGROUND: Hypernatremic dehydration amongst exclusively breastfed neonates due to inadequate breastfeeding or underfeeding is a potentially devastating condition. We investigated the epidemiological and clinic features of hypernatremic dehydration. METHODS: We retrospectively reviewed the medical records of neonates that were less than 28 days of age, weighing > or =2000 g with gestational age of 36 [...]

By |2013-01-31T09:55:09+00:00enero 31st, 2013|Pregnancy and infancy, Scientific papers|0 Comments

Five-year neurodevelopmental outcome of neonatal dehydration

OBJECTIVE: To determine the long-term outcome of neonatal dehydration. STUDY DESIGN: We identified 182 newborns who were rehospitalized with dehydration (weight loss > or =12% of birth weight and/or serum sodium > or =150 mEq/L) and 419 randomly selected controls from a cohort of 106,627 term and near-term infants with birth weight > or =2000 [...]

By |2013-01-31T09:55:08+00:00enero 31st, 2013|Pregnancy and infancy, Scientific papers|0 Comments

Neonatal neurologic damage after dehydration.

Neurologic damage secondary to dehydration occurs in one of two ways; there can be circulatory shock with hypoxic damage, or a hypernatremic state with cerebral hemorrhage and sometimes thrombosis. The shock variety is most often seen after massive water and electrolyte losses from diarrheal disease; the hypernatremic variety has also been mostly seen in diarrheal [...]

By |2013-01-31T09:55:08+00:00enero 31st, 2013|Pregnancy and infancy, Scientific papers|0 Comments

Cranial MR venography findings of severe hypernatremic dehydration in association with cerebral venous thrombosis in the neonatal period

Severe neonatal hypernatremia is an important electrolyte disorder that has serious effects on the central nervous system, including brain edema, intracranial hemorrhage, hemorrhagic infarct, and thrombosis. Cerebral venous thrombosis is relatively rare in severe neonatal hypernatremic dehydration. The English literature contains only a few reports of the cranial radiological findings in severe neonatal hypernatremia. The [...]

By |2013-01-31T09:55:08+00:00enero 31st, 2013|Pregnancy and infancy, Scientific papers|0 Comments

Impact of an early weighing policy on neonatal hypernatraemic dehydration and breast feeding

AIMS: To ascertain the effect of a policy of early weighing on the detection and severity of neonatal hypernatraemic dehydration (NHD) and on breastfeeding rates in the short and medium term. METHODS: A policy of weighing infants at 72-96 h was introduced from 1 July 2004. Two time periods were studied: pre-policy and post-policy (18 [...]

By |2013-01-31T09:55:08+00:00enero 31st, 2013|Pregnancy and infancy, Scientific papers|0 Comments

Rehospitalization for neonatal dehydration: a nested case-control study.

OBJECTIVES: To determine the incidence of neonatal dehydration leading to rehospitalization, whether clinical and health services data could predict its occurrence, and the outcome of dehydrated infants. METHODS: We employed a retrospective case-control design nested within a cohort of 51 383 newborns weighing 2000 g or more, with a gestational age of 36 weeks or [...]

By |2013-01-31T09:55:08+00:00enero 31st, 2013|Pregnancy and infancy, Scientific papers|0 Comments