Department of Midwifery, School of Medical Sciences, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran.
Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
J Mother Child. 2024 Aug 6;28(1):70-79. doi: 10.34763/jmotherandchild.20232701.d-24-00007. eCollection 2024 Feb 1.
Neonatal hypernatremic dehydration (NHD) is a severe condition associated with neonatal morbidity and mortality.
The present study evaluated maternal risk factors, including duration of maternal hospitalisation, primiparity, caesarean section, and pregnancy complications, as well as social factors, such as depression, fatigue, and inadequate support for NHD.
PubMed, Cochrane Library, International Scientific Indexing, Scopus, and Google Scholar were the databases searched until 2023.
Articles written in English or Persian focusing on the relationship between maternal risk factors and NHD among neonates and providing sufficient information on NHD were included in this study. On the other hand, articles whose abstracts were only available were excluded.
The extracted data were presented in Excel software with the following titles: authors' names, year, type of study, study location, and maternal risk factors. The methodological quality of the articles was determined using the quality assurance tool for the diagnostic accuracy score (QUADAS).
Of the 58 searched articles, 16 were investigated, which included five prospective, seven cross-sectional, and four retrospective articles. Maternal risk factors for NHD included labour and delivery complications, childbirth complications, factors causing insufficient breast milk intake (including breast milk insufficiency, nipple problems, wrong breastfeeding techniques, breast disorders, types of feeding, and breastfeeding training/counselling in pregnancy), as well as delivery and the postpartum period.
Maternal problems in pregnancy and delivery, breast disorders, breastfeeding status, maternal knowledge, and lactation skills are the most common maternal risk factors for NHD. Timely (antenatal) identification and proper management of maternal risk factors help reduce the incidence and severity of NHD complications.
新生儿高渗性脱水（NHD）是一种与新生儿发病率和死亡率相关的严重疾病。
本研究评估了母体相关风险因素，包括母体住院时间、初产、剖宫产以及妊娠并发症，以及社会因素，如抑郁、疲劳和对 NHD 的支持不足。
本研究检索了 PubMed、Cochrane 图书馆、国际科学索引、Scopus 和 Google Scholar 数据库，截至 2023 年。
纳入了关注母体风险因素与新生儿 NHD 之间关系的英文或波斯语文章，这些文章提供了关于 NHD 的充足信息；而仅提供摘要的文章则被排除在外。
提取的数据在 Excel 软件中呈现，标题包括作者姓名、年份、研究类型、研究地点和母体风险因素。使用诊断准确性评分（QUADAS）质量保证工具评估文章的方法学质量。
在 58 篇检索文章中，有 16 篇进行了研究，其中包括 5 篇前瞻性、7 篇横断面和 4 篇回顾性文章。NHD 的母体风险因素包括分娩和产程并发症、分娩并发症、导致母乳摄入不足的因素（包括母乳不足、乳头问题、错误的母乳喂养技术、乳房疾病、喂养类型以及妊娠期的母乳喂养培训/咨询），以及分娩和产后阶段。
妊娠和分娩期间的母体问题、乳房疾病、母乳喂养状况、母体知识和哺乳技能是 NHD 的最常见母体风险因素。及时（产前）识别和适当管理母体风险因素有助于降低 NHD 并发症的发生率和严重程度。
