Neonatal hypoglycemia
Neonatal hypoglycemia | |
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Classification and external resources | |
MedlinePlus | 007306 |
eMedicine | article/802334 |
Neonatal hypoglycemia is a transient or temporary condition of decreased blood sugar or hypoglycemia in a neonate.[1][2]
Mechanism and pathophysiology
Temporary hypoglycemia in the first three hours after birth is a normal finding. Most of the time it resolves without medical intervention. The lowest blood sugars occur one to two hours after birth. After this time, lactose begins to be available through the breast milk. In addition, gluconeogenesis occurs when the kidneys and liver convert fats into glucose..[3]
Risk
Those infants that have an increased risk of developing hypoglycemia shortly after birth are:
- preterm
- asphyxia
- cold stress
- congestive heart failure
- sepsis
- Rh disease
- discordant twin
- erythroblastosis fetalis
- polycythemia
- microphallus or midline defect
- respiratory disease
- maternal glucose IV
- maternal epidural
- postmaturity
- hyperinssulinnemia
- endocrine disorders
- inborn errors of metabolism
- diabetic mother
- maternal toxemia
- intrapartum fever[4]
Treatment
Some infants are treated with 40% dextrose (a form of sugar) gel applied directly to the infant's mouth.[5]
See also
References
- ↑ Walker, p. 319.
- ↑ "Neonatal Hypoglycemia : Intensive Care Nursery House Staff Manual" (PDF). UCSF Children's Hospital. Retrieved 7 December 2014.
- ↑ Walker, p. 325.
- ↑ Walker, p. 326.
- ↑ Weston, PJ; Harris, DL; Battin, M; Brown, J; Hegarty, JE; Harding, JE (4 May 2016). "Oral dextrose gel for the treatment of hypoglycaemia in newborn infants.". The Cochrane database of systematic reviews. 5: CD011027. PMID 27142842. doi:10.1002/14651858.CD011027.pub2. Retrieved 6 June 2016.
Bibliography
- Walker, Marsha (2011). Breastfeeding management for the clinician : using the evidence. Sudbury, Mass: Jones and Bartlett Publishers. ISBN 9780763766511.
External links
- Hypoglycemia in the Newborn, Lucile Packard Children’s Hospital
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