• In four infants of primiparous mothers, critical dehydration, hypothermia, and azotemia developed while they were being breast-fed exclusively. Three had significant hypernatremia, one had a perforated duodenal ulcer, and one had transient renal failure. Although the causes of the inadequate nutrition are unclear, these cases emphasize the necessity of close follow-up for breast-fed babies, especially those of primiparous mothers and those in whom there has been excessive weight loss while in the hospital.
(Am J Dis Child 1981;135:597-599)
Roddey OF, Martin ES, Swetenburg RL. Critical Weight Loss and Malnutrition in Breast-fed InfantsFour Case Reports. Am J Dis Child. 1981;135(7):597–599. doi:10.1001/archpedi.1981.02130310003002
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