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August 13, 1982

Dehydration in a Breast-Fed Infant

JAMA. 1982;248(6):646. doi:10.1001/jama.1982.03330060014010

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To the Editor.—  We were interested in the report by Rowland et al entitled "Malnutrition and Hypernatremic Dehydration in Breast-Fed Infants" (1982;247:1016). A recent experience with a similar case prompted this letter.The patient was a 3,125-g firstborn male infant born at another institution after a full-term uncomplicated pregnancy. The parents were 35 years old, and had attended prenatal classes in which breast-feeding was discussed. The child appeared healthy after birth and nursed well in the hospital. He was discharged on the fourth day of life, weighing 2,756 g. He nursed ten to 15 minutes at each breast approximately every two hours. He seemed alert and content. The parents were unaware of his urine output. He was seen at our institution at age 6 days because the parents had noted a red stain on his diaper. The parents were both healthy and denied use of any medications. The family history