Journal article
Clinical impact of neonatal hypoglycemia screening in the well-baby care
JOURNAL OF PERINATOLOGY, v 40(9), pp 1331-1338
Sep 2020
PMID: 32152490
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objectives To determine the proportion of well-appearing newborns screened for hypoglycemia, yield of specific screening criteria, and impact of screening on breastfeeding. Study design The retrospective study of well-appearing at-risk infants born >= 36 weeks' gestation with blood glucose (BG) measurements obtained <= 72 h of age. Results Of 10,533 eligible well newborns, 48.7% were screened for hypoglycemia. Among tested infants, BG < 50 mg/dL occurred in 43% and 4.6% required intensive care for hypoglycemia. BG < 50 mg/dL was associated with lower rates of exclusive breastfeeding (22% vs 65%, p < 0.001). Infants screened due to late-preterm birth were most frequently identified as hypoglycemic. The fewest abnormal values occurred among appropriate weight, late-term infants of nondiabetic mothers. Conclusion Hypoglycemia risk criteria result in screening a large proportion of otherwise well newborns and negatively impact rates of exclusive breastfeeding. The risks and benefits of hypoglycemia screening recommendations should be urgently addressed.
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Details
- Title
- Clinical impact of neonatal hypoglycemia screening in the well-baby care
- Publication Details
- JOURNAL OF PERINATOLOGY, v 40(9), pp 1331-1338
- Publisher
- SPRINGERNATURE; LONDON
- Number of pages
- 0
- Grant note
- This study was partly supported by Eunice Kennedy Shriver National Institute of Child Health and Human Development Grant (Number-1K23HD088753-01A1).
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Drexel University
- Web of Science ID
- WOS:000518734600002
- Scopus ID
- 2-s2.0-85081682775
- Other Identifier
- 991021860681504721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Obstetrics & Gynecology
- Pediatrics