Innovations and Challenges of Implementing a Glucose Gel Toolkit for Neonatal Hypoglycemia

Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses
Denise HammerBrenda Drury

Abstract

Transient neonatal hypoglycemia occurs most commonly in newborns who are small for gestational age, large for gestational age, infants of diabetic mothers, and late preterm infants. An exact blood glucose value has not been determined for neonatal hypoglycemia, and it is important to note that poor neurologic outcomes can occur if hypoglycemia is left untreated. Interventions that separate mothers and newborns, as well as use of formula to treat hypoglycemia, have the potential to disrupt exclusive breastfeeding. To determine whether implementation of a toolkit designed to support staff in the adaptation of the practice change for management of newborns at risk for hypoglycemia, that includes 40% glucose gel in an obstetric unit with a level 2 nursery will decrease admissions to the Intermediate Care Nursery, and increase exclusive breastfeeding. This descriptive study used a retrospective chart review for pre/postimplementation of the Management of Newborns at Risk for Hypoglycemia Toolkit (Toolkit) using a convenience sample of at-risk newborns in the first 2 days of life to evaluate the proposed outcomes. Following implementation of the Toolkit, at-risk newborns had a clinically but not statistically significant 6.5% increas...Continue Reading

References

Dec 15, 2004·The Milbank Quarterly·Trisha GreenhalghOlivia Kyriakidou
Mar 2, 2011·Pediatrics·David H Adamkin, David H Adamkin
Oct 24, 2013·Seminars in Fetal & Neonatal Medicine·Win Tin
Jan 17, 2014·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Georgia Lowmaster CsontRonnie Guillet
May 20, 2014·Midwifery·Samantha L SundercombeHeather E Jeffery
Aug 25, 2015·JAMA Pediatrics·Christopher J D McKinlay, Jane E Harding
Feb 24, 2016·Nursing for Women's Health·Catherine BennettJai Flicker

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