Evaluation of Maternal Risk Factors for Neonatal Hypernatremic Dehydration: A Systematic Review.
Breastfeeding
dehydration
hypernatremia
lactation
lactation disorders
mother
neonate/newborn
pregnancy complications
risk factors
Journal
Journal of mother and child
ISSN: 2719-535X
Titre abrégé: J Mother Child
Pays: Poland
ID NLM: 101771247
Informations de publication
Date de publication:
01 Feb 2024
01 Feb 2024
Historique:
received:
13
01
2024
accepted:
07
06
2024
medline:
8
8
2024
pubmed:
8
8
2024
entrez:
7
8
2024
Statut:
epublish
Résumé
Neonatal hypernatremic dehydration (NHD) is a severe condition associated with neonatal morbidity and mortality. The present study evaluated maternal risk factors, including duration of maternal hospitalisation, primiparity, caesarean section, and pregnancy complications, as well as social factors, such as depression, fatigue, and inadequate support for NHD. PubMed, Cochrane Library, International Scientific Indexing, Scopus, and Google Scholar were the databases searched until 2023. Articles written in English or Persian focusing on the relationship between maternal risk factors and NHD among neonates and providing sufficient information on NHD were included in this study. On the other hand, articles whose abstracts were only available were excluded. The extracted data were presented in Excel software with the following titles: authors' names, year, type of study, study location, and maternal risk factors. The methodological quality of the articles was determined using the quality assurance tool for the diagnostic accuracy score (QUADAS). Of the 58 searched articles, 16 were investigated, which included five prospective, seven cross-sectional, and four retrospective articles. Maternal risk factors for NHD included labour and delivery complications, childbirth complications, factors causing insufficient breast milk intake (including breast milk insufficiency, nipple problems, wrong breastfeeding techniques, breast disorders, types of feeding, and breastfeeding training/counselling in pregnancy), as well as delivery and the postpartum period. Maternal problems in pregnancy and delivery, breast disorders, breastfeeding status, maternal knowledge, and lactation skills are the most common maternal risk factors for NHD. Timely (antenatal) identification and proper management of maternal risk factors help reduce the incidence and severity of NHD complications.
Sections du résumé
BACKGROUND
BACKGROUND
Neonatal hypernatremic dehydration (NHD) is a severe condition associated with neonatal morbidity and mortality.
PURPOSE
OBJECTIVE
The present study evaluated maternal risk factors, including duration of maternal hospitalisation, primiparity, caesarean section, and pregnancy complications, as well as social factors, such as depression, fatigue, and inadequate support for NHD.
DATA SOURCES
METHODS
PubMed, Cochrane Library, International Scientific Indexing, Scopus, and Google Scholar were the databases searched until 2023.
STUDY SELECTION
METHODS
Articles written in English or Persian focusing on the relationship between maternal risk factors and NHD among neonates and providing sufficient information on NHD were included in this study. On the other hand, articles whose abstracts were only available were excluded.
DATA EXTRACTION
METHODS
The extracted data were presented in Excel software with the following titles: authors' names, year, type of study, study location, and maternal risk factors. The methodological quality of the articles was determined using the quality assurance tool for the diagnostic accuracy score (QUADAS).
RESULTS
RESULTS
Of the 58 searched articles, 16 were investigated, which included five prospective, seven cross-sectional, and four retrospective articles. Maternal risk factors for NHD included labour and delivery complications, childbirth complications, factors causing insufficient breast milk intake (including breast milk insufficiency, nipple problems, wrong breastfeeding techniques, breast disorders, types of feeding, and breastfeeding training/counselling in pregnancy), as well as delivery and the postpartum period.
IMPLICATIONS FOR PRACTICE AND RESEARCH
CONCLUSIONS
Maternal problems in pregnancy and delivery, breast disorders, breastfeeding status, maternal knowledge, and lactation skills are the most common maternal risk factors for NHD. Timely (antenatal) identification and proper management of maternal risk factors help reduce the incidence and severity of NHD complications.
Identifiants
pubmed: 39111773
pii: jmotherandchild.20232701.d-24-00007
doi: 10.34763/jmotherandchild.20232701.d-24-00007
doi:
Types de publication
Journal Article
Systematic Review
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
70-79Informations de copyright
© 2024 Zakerihamidi Maryam et al., published by Sciendo.
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