Incidence of hypoglycemia in newborn babies born with perinatal and postnatal risk factors
Journal Title: Medpulse International Journal of Pediatrics - Year 2018, Vol 5, Issue 2
Abstract
Background: Hypoglycemia is a common, preventable and neglected problem in many maternity hospitals in developing countries. In the presence of certain high risk factors like small for date, large for date, prematurity etc., the probability of hypoglycemia increases many fold. Aim: To detect the incidence of hypoglycemia in newborn babies born with perinatal and postnatal risk factors. Material and Methods: A total of 170 LBW and high risk babies were studied for incidence of hypoglycemia.BSL was done at regular intervals 0, 3, 6, 12, 24, 48, 72 hours.All these babies were observed for the symptoms associated with hypoglycemia. Their correlation with low blood sugar level was established. Results: Out of 170 neonates, 32 had hypoglycemia, thus the incidence of hypoglycemia was 18.82%.Incidence of hypoglycemia in preterm babies was 22.4% (28 out of 125) and in term babies the incidence was 8.8% (4 out of 45).Out of 32 hypoglycemia babies, 8 were SGA and 24 were AGA babies. 7 (21.88%) babies had birth asphyxia and highest i.e. 4 babies are preterm AGA among them. 6 (18.75%) babies had hyperbilirubinemia and 4 among them are preterm AGA babies. Conclusion:Among all perinatal and postnatal risk factors, incidence of hypoglycemia is more common in septicemia and birth asphyxia. Mandatory blood glucose screening of all neonates with at least one of these risk factors serves as an easy and cost effective measure of detection and treatment of this morbidity.
Authors and Affiliations
Bainade Kapil, Gahlowt Pallavi
Keywords
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