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Failure to detect preterm infants at risk of hypoglycemia before discharge
R Hume1, A McGeechan, A Burchell
1Departments of Obstetrics and Gynecology, Ninewells Hospital and Medical School, University Of Dundee, Dundee, Scotland.
The Journal of Pediatrics
|April 6, 1999
Insights
Many preterm infants struggle to maintain blood glucose levels after hospital discharge. This highlights a risk for infant hypoglycemia at home if feedings are missed or delayed.
Area of Science:
- Neonatal Medicine
- Pediatric Endocrinology
Background:
- Preterm infants often face unique metabolic challenges.
- Monitoring blood glucose is crucial for preterm infant well-being.
Purpose of the Study:
- To assess the ability of preterm infants to maintain normal blood glucose concentrations prior to hospital discharge.
- To identify the prevalence of potential hypoglycemia risk in this population.
Main Methods:
- A cohort of 79 consecutive preterm infants nearing discharge was studied.
- Blood glucose concentrations were monitored in infants ready for discharge.
Main Results:
- 14 out of 79 (18%) preterm infants demonstrated an inability to maintain normal blood glucose levels.
- This indicates a significant proportion of infants are vulnerable.
Conclusions:
- A substantial percentage of preterm infants are at risk of developing hypoglycemia after discharge.
- Home care protocols should consider the risk of omitted or delayed feedings in preterm infants.
Abstract:
In a series of 79 consecutive preterm infants who were ready for discharge, 14 (18%) infants were unable to maintain normal concentrations of blood glucose. This finding suggests that a significant number of preterm infants are at risk of hypoglycemia at home if a feed is omitted or delayed.