ArticleArchives of disease in childhood2007
Reference chart for relative weight change to detect hypernatraemic dehydration.
Article in Archives of disease in childhood, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Neonatal weight loss and gain patterns in caesarean section born infants: integrative systematic review.Maternal & child nutrition · 2020Pooled it
- Clinical Decision Support for Newborn Weight Loss: A Randomized Controlled Trial.Hospital pediatrics · 2022Trial
- Relationship of newborn weight loss to milk supply concern and anxiety: the impact on breastfeeding duration.Maternal & child nutrition · 2016Trial
- Description of Full-Term Infants Hospitalized for Poor Weight Gain in the First Month of Life.Maternal and child health journal · 2026Article
- Burst of gyrification in the human brain after birth.Communications biology · 2025Article
- Stimulation Therapy to Induce Mothers: Protocol for a Multicenter Randomized Controlled Trial.JMIR research protocols · 2024Article
- Early diagnosis of neonatal-onset cyclic vomiting syndrome.Nagoya journal of medical science · 2023Article
- Determinants of excessive weight loss in breastfed full-term newborns at a baby-friendly hospital: a retrospective cohort study.International breastfeeding journal · 2020Observational
- Estimating birth weight from observed postnatal weights in a Guatemalan highland community.Physiological measurement · 2020Article
- Facilitating discharge from hospital of the healthy term infant.Paediatrics & child health · 2018Review
- Newborn weight change and childhood cardio-metabolic traits - a prospective cohort study.BMC pediatrics · 2018Article
- Effect of birth weight and weight change during the first 96 h of life on childhood body composition--path analysis.International journal of obesity (2005) · 2015Article
- Early weight loss nomograms for exclusively breastfed newborns.Pediatrics · 2015Article
- Changes in the body weight of term infants, born in the tropics, during the first seven days of life.BMC pediatrics · 2013Article
- Designing the new UK-WHO growth charts to enhance assessment of growth around birth.Archives of disease in childhood. Fetal and neonatal edition · 2012Article
- An observational study of associations among maternal fluids during parturition, neonatal output, and breastfed newborn weight loss.International breastfeeding journal · 2011Article
- First-day newborn weight loss predicts in-hospital weight nadir for breastfeeding infants.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2010Article
- Prevention of hypernatraemic dehydration in breastfed newborn infants by daily weighing.European journal of pediatrics · 2009Article
- Breast feeding.BMJ (Clinical research ed.) · 2008Review
- Avoiding hypernatraemic dehydration in healthy term infants.Archives of disease in childhood · 2007Review
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe validity of the rule of thumb that infants may have a weight loss of 10% in the first days after birth is unknown. We assessed the validity of this and other rules to detect breast-fed infants with hypernatraemic dehydration.
designA reference chart for relative weight change was constructed by the LMS method. The reference group was obtained by a retrospective cohort study.
participants1544 healthy, exclusively breast-fed infants with 3075 weight measurements born in the Netherlands and 83 cases of breast-fed infants with hypernatraemic dehydration obtained from literature.
resultsThe rule of thumb had a sensitivity of 90.4%, a specificity of 98.3% and a positive predictive value of 3.7%. Referring infants if their weight change is below -2.5 SDS (0.6th centile) in the reference chart in the first week of life and using the rule of thumb in the second week had a sensitivity of 85.5%, a specificity of 99.4% and a positive predictive value of 9.2%.
conclusionsThe rule of thumb is likely to produce too many false positive results, assuming that for screening purposes the specificity needs to be high. A chart for relative weight change can be helpful to detect infants with hypernatraemic dehydration.
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