Postnatal growth in one-month-old breast-fed infants
Abstract
The interpretation of postnatal growth in newborn breast-fed infants might show some difficulties, especially during the first days of life.
Objective. To describe growth in terms of weight in newborns at term exclusively breast-feed in their first month of life.
Methods. Clinical records of normal newborn infants from a pre-paid health service (controlled by surgeons at their offices) were analyzed. Infants were exclusively breast-fed and had been controlled at least five times during their first 45 days of life. Collected data was used to design tables and percentile figures of weight and velocity growth.
Results. Data of weight growth was collected from 148 newborns (75 female and 73 male). Growth curves showed decrease in weight compared to birth weight of 5% mean (SE = 2%). Median to reach weight birth was 8 days for both sexes (p = 10, 3 days; p = 90, 15 days). Velocity curves after showing a weight increase during the first days, indicated along the first month small oscillations.
Curves and tables might be a useful tool to pediatrics if doubts related to weight growth are seen in breast-fed newborns.
References
2) World Health Organization. Fourthy-four World Health Assembly, resolution WHA 44.33 on the world summit for children: follow-up action, may 1991.Génova: WHO, 1991.
3) Fondo de las Naciones Unidas para la Infancia. Posición de UNICEF sobre la duración de la Lactancia Exclusiva. IBFAN ALC 1999; 2(6): 42-3.
4) Powers N. Incremento ponderal lento y abasto lácteo escaso durante el amamantamiento. Clin Perinatol 1999; 2: 393-425.
5) Curran J, Barnes L. Breast feeding. In: Behrman R, Kliegman R, Jenson H. Nelson Textbook of Pediatrics. 16th ed. Philadelphia: W. Saunders, 2000: 150-4.
6) Royal College of Midwives. Lactancia Materna; manual para profesionales. Barcelona: ACPAM, 1994: 34.
7) Neifert M. Prevención de tragedias por la lactancia materna. Clín Pediátr Norte Am 2001; 2: 261-90.
8) Nelson S, Rogers R, Ziegler E, Fomon S. Gain in weight and lenght during early infancy. Early Hum Dev 1989; 19: 223-39.
9) Jolly PE, Humphrey M, Irons BY, Campbell-Forrester S, Weiss HL. Breast-feeding and weight change in newborns in Jamaica. Child Care Health Dev 2000; 26(1): 17-28.
10) Wilsman N, Van Sickle D. Weight Change Patterns as a Basis for Predicting Survival of Newborn Pointer Pups. JAMA 1973; 163(8): 971-5.
11) Fomon S, Nelson S. Tamaño y crecimiento. In: Fomon S. Nutrición del Lactante. Madrid: Mosby/Doyma, 1995: 36- 83.
12) American Academy of Pediatrics Committee on Fetus and Newborn. Healthy stay for healthy term newborns. Pediatrics 1995; 96: 788
13) Hoover K. Extreme weight loss in the breastfed newborn. J Hum Lact 1998; 14(4): 288.
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