2015, Number 2
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ABSTRACTThis article is a review for the medical practice in the process of control, supervision and promotion of breastfeeding in exclusively breastfed newborns. Strategies for anticipating feeding problems in preterm infants, neonatal hypoglycemia in diabetic mothers’ babies and multiple births are reviewed. Patterns of excreta in the first week of life, risk factors and early diagnosis of neonatal hypernatremic dehydration are discussed. The importance of excessive weight loss, low milk supply and a decreasing volume of excreta as alarm indicators is reviewed. Other common clinical conditions in the early days, as irritability due to gases, the diagnosis and management of colic and differences with other diseases such as food allergy, gastroesophageal reflux, lactose intolerance or the usual pattern of physiological regurgitation are described. Recommendations aimed at preventing premature weaning or replacement of breastfeeding with formula are given, focusing in a clinical and preventive approach.
Vandenplas Y, Rudolph CD, Di Lorenzo C, Hassall E, Liptak G, Mazur L et al. Pediatric gastroesophageal reflux clinical practice guidelines: joint recommendations of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN). J Pediatr Gastroenterol Nutr. 2009; 49 (4): 498-547.