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Sunday, September 16, 2018

5. Neonatal Hypoglycemia - Intern Survival Guide
src: sites.google.com

Neonatal hypoglycemia is a transient or temporary condition of decreased blood sugar or hypoglycemia in a neonate.



Video Neonatal hypoglycemia



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.


Maps Neonatal hypoglycemia



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
  • Hyperinsulinemia
  • endocrine disorders
  • inborn errors of metabolism
  • diabetic mother
  • maternal toxemia
  • intrapartum fever
Neonatal Hypoglycemia | Article, Article, Articles | Pediatrics in ...
src: pedsinreview.aappublications.org


Treatment

Some infants are treated with 40% dextrose (a form of sugar) gel applied directly to the infant's mouth.


Postnatal Glucose Homeostasis in Late-Preterm and Term Infants ...
src: pediatrics.aappublications.org


See also

  • Congenital hyperinsulinism
  • Hyperinsulinemic hypoglycemia

Neonatal Hypoglycemia | Neoreviews | Pediatrics in Review
src: pedsinreview.aappublications.org


References


Neonatal Hypoglycemia and Birth Injury | Legal Help
src: www.abclawcenters.com


Bibliography

  • Walker, Marsha (2011). Breastfeeding management for the clinician : using the evidence. Sudbury, Mass: Jones and Bartlett Publishers. ISBN 9780763766511. 

Neonatal Hypoglycemia | Neoreviews | Pediatrics in Review
src: pedsinreview.aappublications.org


External links

  • Hypoglycemia in the Newborn, Lucile Packard Children's Hospital

Source of article : Wikipedia