Can anyone answer a question for me? Is it possible for a baby wiith
severe hypernatraemic dehydration, say with nearly 25% weight loss,
to be passing normal quantities of normal urine? Thus throwing to
the winds the normal advice for a mother to count wet nappies/diapers
as a way to know her baby is taking in enough breastmilk. I've just
heard of 2 such cases and I'm wondering what could have happened.
This really bothers me because it seems so unlikely and I've been
asked to comment to a healthcare professional.
My knee-jerk reaction would be to think that a baby breastfeeding so
seldom, or so infrequently as to have become dehydrated might
suddenly have been fed a large quantity of formula, so causing
hypernatraemia.
Can anyone come up with a likely explanation??
Many thanks if you can help.
Pamela Morrison IBCLC
Rustington, England
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