Screening for hypoglycemia in exclusively breastfed high-risk neonates

Singh, Princy; Upadhyay, Amit; Sreenivas, Vishnubhatla; Jaiswal, Vijay; Saxena, Parul

doi:10.1007/s13312-017-1051-0

Cited by 11 publications

(12 citation statements)

References 9 publications

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“…The incidence of hypoglycemia in preterm babies was 35.8%, which is pretty similar to Singh et al10 (36.9%) but much lower what De AK et al 13 got (77.7%). Most of our preterm babies are high risk with morbidities like very low birth weight (<1500 grams), RDS etc., requiring NICU admission and hence not included in the present study.…”

supporting

confidence: 77%

“…LGA in this study was 16.5%. In the present study, the incidence of hypoglycemia in babies born to mothers with hypertension was 44% whereas the incidence in babies born to hypertensive mothers reported by Singh et al 10 was 33.3% and 39.0% by Kumar TJ et al 6 In the present study, newborns who developed at least 1 hypoglycemia episode, 52 (47.…”

Section: Discussioncontrasting

confidence: 44%

“…This pattern was also depicted by studies from Iran 6 as well as India. 10 The incidence of hypoglycemia was56.9% in present work while Kumar TJ et al 6 The incidence of hypoglycemia in low birth weight newborns was 39.4%. Singh et al 10 study showed incidence of hypoglycemia in low birth weight newborns 29.5%, De AK et al 13 showed 64.8% incidence of hypoglycemia in low birth weight newborns but the population size was small.…”

Section: Discussionmentioning

confidence: 45%

“…14 The frequency of hypoglycemia in LGA infants was 5% in Holtrop et al study 11 and 14.6% in an Indian study. 10 The incidence of hypoglycemia in…”

Section: Discussionmentioning

confidence: 99%

“…The cutoff value was labeled as 35 mg/dl in that study. 8 DePuy et al 9 2.4% while Singh et al10 from India showed 27% incidence of hypoglycemia amongst newborns.…”

mentioning

confidence: 96%

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Hypoglycemia in Newborns with risk factors of hypoglycemia.

Mazari¹,

Rehman

Zafar

2020

TPMJ

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Objectives: Hypoglycemia is a matter of great concern especially in newborns. Its prevalence varies globally as different protocols and feeding policies exist. We aimed this study to find out the incidence of hypoglycemia in newborns with risk factors of hypoglycemia. Study Design: Observational study Setting: Pediatric Medicine Unit-2, Mayo Hospital, Lahore. Period: From 1st January 2018 to 31st December 2018. Material & Methods: A total of 342 babies born with risk factors for hypoglycemia fulfilling the inclusion and exclusion criteria were considered for this study. Screening for hypoglycemia was performed prior to feeding at 2, 6, 12, 24 and 48 hours of life. Results: Out of a total of 342 newborns with risk factors, 109 (31.9%) were found to have hypoglycemia. Amongst these newborns, 99 (28.9%) and 10 (2.9%) newborns had asymptomatic and symptomatic hypoglycemia respectively. Among these 109 newborns, majority were male 56 (51.4%), 70 (64.2%) with gestational age more than 37 weeks, 66 (60.6%) with birth weight more than 2500 grams and 62 (56.9%) small for gestational age (SGA). Amongst newborns who developed at least 1 hypoglycemia episode, 52 (47.7%) were at 2 hours of life, 31 (28.4%) at 6 hours whereas no hypoglycemia episode recorded beyond 24 hours of life. Conclusions: Screening for hypoglycemia should always be performed in babies who had risk factors of hypoglycemia especially within 24 hours of life. As per our study blood glucose screening should be mandatory in all newborns who are SGA.

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supporting

confidence: 77%

Section: Discussioncontrasting

confidence: 44%

Section: Discussionmentioning

confidence: 45%

“…14 The frequency of hypoglycemia in LGA infants was 5% in Holtrop et al study 11 and 14.6% in an Indian study. 10 The incidence of hypoglycemia in…”

Section: Discussionmentioning

confidence: 99%

“…The cutoff value was labeled as 35 mg/dl in that study. 8 DePuy et al 9 2.4% while Singh et al10 from India showed 27% incidence of hypoglycemia amongst newborns.…”

mentioning

confidence: 96%

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Hypoglycemia in Newborns with risk factors of hypoglycemia.

Mazari¹,

Rehman

Zafar

2020

TPMJ

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Hypoglycaemia in high-risk neonates on exclusive breastfeeding

Sardar

Devgan

Shaw

et al. 2023

Medical Journal Armed Forces India

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ABM Clinical Protocol #1: Guidelines for Glucose Monitoring and Treatment of Hypoglycemia in Term and Late Preterm Neonates, Revised 2021

Wight

Stehel²,

Noble³

et al. 2021

Breastfeeding Medicine

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A central goal of The Academy of Breastfeeding Medicine is the development of clinical protocols for managing common medical conditions that may impact breastfeeding success. These protocols serve only as guidelines for the care of breastfeeding mothers and infants and do not delineate an exclusive course of treatment or serve as standards of medical care. Variations in treatment may be appropriate according to the needs of an individual patient. PurposeT o provide guidance in the first hours/days of life to: Differentiate transitional neonatal hypoglycemia from persistent pathologic hypoglycemia Prevent clinically significant hypoglycemia in newborn infants Appropriately monitor blood/plasma glucose levels in at-risk term and late preterm neonates Manage clinically significant hypoglycemia in newborn infants to prevent neurologic injury Maximize breast milk provision to babies Establish and preserve maternal milk supply during medically necessary supplementation for hypoglycemia or during separation of mother and baby. About the 2020 Revised ProtocolKey research articles before 2014 were retained and more recent information was added from primary studies and compilations. Specific studies were assigned a level of evidence, and Strength of Recommendation Taxonomy (SORT: A, B, C) 1 was used for recommendations. The SORT rating system addresses the three key elements (quality, quantity, and consistency) recommended by the Agency for Healthcare Research and Quality. Levels of evidence are applied after each specific recommendation in brackets, e.g., [A], [B], [C].Recommendations are updated based on the last 6 years of new information and critical older studies. This clinical protocol is intended to provide practitioners with pragmatic evidence-based guidance to keep infants safe while mini-

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Screening for hypoglycemia in exclusively breastfed high-risk neonates

Abstract: Healthy, high-risk exclusively breastfed newborns in postnatal wards need close monitoring for hypoglycemia in first 24 hrs of life.

Cited by 11 publications

References 9 publications

Hypoglycemia in Newborns with risk factors of hypoglycemia.

Hypoglycemia in Newborns with risk factors of hypoglycemia.

Hypoglycaemia in high-risk neonates on exclusive breastfeeding

ABM Clinical Protocol #1: Guidelines for Glucose Monitoring and Treatment of Hypoglycemia in Term and Late Preterm Neonates, Revised 2021

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