A Study to Assess Incidence, Risk Factors, Complications of Hypoglycemia and Its Outcome in Newborns Admitted in a Tertiary Health Care Centre

Abstract

Background: Current screening guidelines and management of hypoglcemia are based on limited evidence and rely more on expert judgement to make recommendations. In this study we aimed to study the incidence of hypoglycemia in newborns with risk factors and the possible outcome of newborn born with neonatal hypoglycemia was also assessed. This Cross-sectional Observational study was conducted on 100 Material and Method: babies born in IMCHRC with risk factors for hypoglycemia qualifying the inclusion criteria. Hypoglycemia screening was done at 1,2, 6, 12, 24 and 48 hours of life. Blood sugar was screened with hypoglycemia dened as RBS <45 mg/dl. Statistical analysis was done. The incidence of hypoglycemia in newborns with risk factors was 36% with Results: majority neonates being asymptomatic. Males and Pre-term neonates showed a higher prevalence to develop hypoglycemia. Majority of hypoglycemic newborns were SGA and birthweight was <2 kg. Preterm neonates developed hypoglycemia much earlier than term & post term mostly by 2 hours of life. Preeclamsia was the most common maternal risk factor and Prematurity the most common fetal risk factor that causes hypoglycemia in high-risk neonates (P>0.05). 4 newborns succumbed to death out of which 3 were Pre-Term and 1 was Term. Hypoglycemia screening should be done at regular inter Conclusions: val, more specically at rst 24 hours of life in at-risk babies. Proper monitoring of hypoglycemia, majority of the newborns will recover though adequate feeding practices and will decrease chances of giving invasive treatment.