Clinical impact of neonatal hypoglycemia screening in the well-baby care.

Journal of Perinatology : Official Journal of the California Perinatal Association
Sagori MukhopadhyayKaren M Puopolo

Abstract

To determine the proportion of well-appearing newborns screened for hypoglycemia, yield of specific screening criteria, and impact of screening on breastfeeding. The retrospective study of well-appearing at-risk infants born ≥36 weeks' gestation with blood glucose (BG) measurements obtained ≤72 h of age. 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. 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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Citations

Feb 7, 2021·Journal of Perinatology : Official Journal of the California Perinatal Association·Carolyn McGannKevin Dysart
Feb 21, 2021·Seminars in Fetal & Neonatal Medicine·David H Adamkin
Apr 3, 2021·Frontiers in Endocrinology·Laura Costanza De AngelisLuca Antonio Ramenghi
May 21, 2021·Hospital Pediatrics·Sudha Rani NarasimhanPriya Jegatheesan
Aug 7, 2021·Clinics in Perinatology·Eustratia M Hubbard, William W Hay
Aug 4, 2021·Hospital Pediatrics·Jaspreet Loyal, Kelly E Wood

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