Obstetrical correlates and perinatal consequences of neonatal hypoglycemia in term infants

Ogunyemi, Dotun; Friedman, Perry; Betcher, Katherine; Whitten, Amy; Sugiyama, Nathaniel; Qu, Liuhong; Kohn, A.; Paul, Holtrop

doi:10.1080/14767058.2016.1214127

Cited by 22 publications

(15 citation statements)

References 27 publications

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“…Since maternal hyperglycemia is one of the causes of neonatal hypoglycemia [ 3 ], the low population prevalence could partly explain the low prevalence of it in our selected population. Nonetheless, our findings are similar to those obtained from two American and one Indian study [ 26 – 28 ].…”

Section: Discussionsupporting

confidence: 92%

Prevalence and factors associated with neonatal hypoglycemia in Northern Uganda: a community-based cross-sectional study

et al. 2020

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Background Neonatal hypoglycemia is the most common endocrine abnormality in children, which is associated with increased morbidity and mortality. The burden and risk factors of neonatal hypoglycemia in rural communities in sub-Saharan Africa are unknown. Objective To determine the prevalence and risk factors for neonatal hypoglycemia in Lira District, Northern Uganda. Methods This was a community-based cross-sectional study, nested in a cluster randomized controlled trial designed to promote health facility births and newborn care practices in Lira District, Northern Uganda. This study recruited neonates born to mothers in the parent study. Random blood glucose was measured using an On Call® Plus glucometer (ACON Laboratories, Inc., 10125 Mesa Road, San Diego, CA, USA). We defined hypoglycemia as a blood glucose of < 47 mg/dl. To determine the factors associated with neonatal hypoglycemia, a multivariable linear regression mixed-effects model was used. Results We examined 1416 participants of mean age 3.1 days (standard deviation (SD) 2.1) and mean weight of 3.2 kg (SD 0.5). The mean neonatal blood glucose level was 81.6 mg/dl (SD 16.8). The prevalence of a blood glucose concentration of < 47 mg/dl was 2.2% (31/1416): 95% CI 1.2%, 3.9%. The risk factors for neonatal hypoglycemia were delayed breastfeeding initiation [adjusted mean difference, − 2.6; 95% CI, − 4.4, − 0.79] and child age of 3 days or less [adjusted mean, − 12.2; 95% CI, − 14.0, − 10.4]. Conclusion The incidence of neonatal hypoglycemia was low in this community and was predicted by delay in initiating breastfeeding and a child age of 3 days or less. We therefore suggest targeted screening and management of neonatal hypoglycemia among neonates before 3 days of age and those who are delayed in the onset of breastfeeding.

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Section: Discussionsupporting

confidence: 92%

Prevalence and factors associated with neonatal hypoglycemia in Northern Uganda: a community-based cross-sectional study

et al. 2020

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“…Ogunyemi et al reported that Cesarean section and decreasing gestational age were the most consistent independent risk factors followed by SGA but sample include all babies, even diabetic mothers and those receive drugs during pregnancy. 21 Zanardo et al 22 findings strongly support that Twin gestation is associated with higher rate of neonatal hypoglycemia than do singletons (OR: 2.49) and explained by higher rate of having small preterm babies and this disagree with our and another study results in Iraq, 17 unfortunately limited data available about effect of multiple gestations and these controversial results may be Discussion attributed to the inclusion of the preterm babies only versus all newborns. Limited studies linked maternal hypoglycemia with neonatal hypoglycemia.…”

contrasting

confidence: 55%

Prevalence and severity of hypoglycemia in a sample of neonates in Erbil city

Rajab¹,

Chalabi

Al-Rabaty

2018

ZJMS

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“…These transfers often occurred due to hypoglycaemia, which is to be expected in this high-risk group. Postpartum transfers for this reason are well-known to occur with SGA/IUGR foetuses, irrespective of the method of delivery and, depending on the publication, are also reported to be higher in cases of caesarean section compared to vaginal delivery 16 .…”

Section: Discussionmentioning

confidence: 99%

“…Diese Verlegungen erfolgten insbesondere aufgrund einer Hypoglykämie, was in dieser Risikgruppe zu erwarten war. Postnatale Verlegungen aus diesem Grund sind unabhängig vom Geburtsmodus bei SGA-/IUGR-Feten bekannt und im Fall von Kaiserschnitten im Vergleich zur Vaginalgeburt je nach Publikation auch erhöht 16 .…”

Section: Diskussionunclassified

Induction of Labour in Growth Restricted and Small for Gestational Age Foetuses – A Historical Cohort Study

Kehl

Weiß

Dammer

et al. 2019

Geburtshilfe Frauenheilkd

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Purpose Induction of labour for small-for-gestational-age (SGA) foetus or intrauterine growth restriction (IUGR) is common, but data are limited. The aim of this study was therefore to compare labour induction for SGA/IUGR with cases of normal foetal growth above the 10th percentile. Material and Methods This historical multicentre cohort study included singleton pregnancies at term. Labour induction for SGA/IUGR (IUGR group) was compared with cases of foetal growth above the 10th percentile (control group). Primary outcome measure was caesarean section rate. Results The caesarean section rate was not different between the 2 groups (27.0 vs. 26.2%, p = 0.9154). In the IUGR group, abnormal CTG was more common (30.8 vs. 21.9%, p = 0.0214), and foetal blood analysis was done more often (2.5 vs. 0.5%, p = 0.0261). There were more postpartum transfers to the NICU in the IUGR group (40.0 vs. 12.8%, p < 0.0001), too. Conclusion Induction of labour for foetal growth restriction was not associated with an increased rate of caesarean section.

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Obstetrical correlates and perinatal consequences of neonatal hypoglycemia in term infants

Cited by 22 publications

References 27 publications

Prevalence and factors associated with neonatal hypoglycemia in Northern Uganda: a community-based cross-sectional study

Prevalence and factors associated with neonatal hypoglycemia in Northern Uganda: a community-based cross-sectional study

Prevalence and severity of hypoglycemia in a sample of neonates in Erbil city

Induction of Labour in Growth Restricted and Small for Gestational Age Foetuses – A Historical Cohort Study

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