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2022, Number Esp

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Sal Jal 2022; 9 (Esp)

Deshidratación hipernatrémica, distensión abdominal y ginecomastia en un recién nacido con buena ganancia de peso al seno materno

Delgado-Moreno A, Enríquez-Cisneros O, Loera-Lamas J
Full text How to cite this article

Language: Spanish
References: 10
Page: 66-68
PDF size: 198.51 Kb.


Key words:

abdominal distension, neonatal mastauxe, galactorrhea, breastfeeding.

ABSTRACT

Most of the time, abdominal distension is associated with feeding intolerance, which, in clinical practice, can lead to the suspension of breastfeeding, the implementation of restrictive maternal diets or the change from maternal breast to formula; identifying the cause of abdominal distention can be complex and requires a complete physical examination of the newborn as well as an assessment of their eating habits and breastfeeding technique. Maternal estrogens can cause breast enlargement in approximately 60% of the newborn, while galactorrhea is an hormone-dependent condition, in which, prolactin stimulates milk secretion and can be found in 20%, both being physiological conditions that only requires observation. We present the case of a newborn brought to the emergency room due to abdominal distention with adequate breast feeding and weight; highlighting the importance of a conscientious approach to avoid the unjustifi ed suspension of breastfeeding and the correct approach to find the etiology of the problem.


REFERENCES

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  2. Entity “Mastauxe” - Stedman’s Medical Dictionary, 28edn.Philadelphia; Lippincott William Wilkins 2006. p 1160.

  3. V. Raveenthiran, Neonatal Mastauxe (Breast Enlargement of theNewborn). Journal of Neonatal Surgery 2013;2(3):31

  4. Kurtoğlu S, Direk G, Uzan Tatlı Z, Hatipoğlu N. Transientendocrinologic problems in the newborn period. Turk PediatriArs 2019; 54(1): 3–12.

  5. Jayasinghe Y, Cha R, Horn-Ommen J, O’Brien P, Simmons PS.Establishment of normative data for the amount of breast tissuepresent in healthy children up to two years of age. J PediatrAdolesc Gynecol. 2010; 23: 305-11.

  6. McKiernan JF, Hull D. Prolactin, maternal oestrogens, andbreast development in the newborn. Arch Dis Child. 1981; 56:

  7. 770-4.7. Madlon-Kay DJ. Witch’s milk: Galactorrhea in the newborn. AmJ Dis Child. 1986; 140: 252-3

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  9. Ruwaili NA, Scolnik D. Neonatal mastitis - controversies inmanagement. J Clin Neonatol. 2012; 1: 207-10.

  10. Dosset JA. Th e nature of breast secretion in infancy. J Pathol Bact1960; 80:93.




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C?MO CITAR (Vancouver)

Sal Jal. 2022;9