Critical weight loss and malnutrition in breast-fed infants

Am J Dis Child. 1981 Jul;135(7):597-9. doi: 10.1001/archpedi.1981.02130310003002.


In four infants of primiparous mothers, critical dehydration, hypothermia, and azotemia developed while they were being breast-fed exclusively. Three had significant hypernatremia, one had a perforated duodenal ulcer, and one had transient renal failure. Although the causes of the inadequate nutrition are unclear, these cases emphasize the necessity of close follow-up for breast-fed babies, especially those of primiparous mothers and those in whom there has been excessive weight loss while in the hospital.

Publication types

  • Case Reports

MeSH terms

  • Acute Kidney Injury / etiology
  • Body Weight*
  • Breast Feeding*
  • Duodenal Ulcer / etiology
  • Female
  • Humans
  • Hypernatremia / etiology
  • Infant Nutrition Disorders / etiology*
  • Infant, Newborn
  • Infant, Newborn, Diseases / etiology*
  • Male
  • Parity
  • Peptic Ulcer Perforation / etiology