NEONATAL HYPOGLYCEMIA

Presenting pattern and risk factors of neonatal hypoglycemia.

Abstract

… Objective: To determine the presenting features and assessment of the neonates
with hypoglycemia along with maternal and neonatal risk factors for hypoglycemia. Subjects &
methods: All consecutive neonates with hypoglycemia admitted were included in the study.
Demographic characteristics of the mothers and their babies, past medical history and illnesses
during pregnancy especially that, of diabetes mellitus and duration, details of the management of
labour and place of delivery, birth asphyxia as well as history of feeding prior to admission. All the
risk factors and clinical features were documented. Results: From presenting features neonates
were most common temperature instability 32% of the neonates. Maternal risk factors were as
Maternal diabetic mellitus, Intrapartum administration of glucose , Maternal drug uses as: (Beta
blockers, Oral hypoglycemic agents, Valproate), family history of metabolic disorder and without
any factors with the percentage 13%, 17%, (15%, 08%, 07%) , 27% and 13% respectively.
Neonatal risk factors of the patients were found low birth weight 49%, small gestational age 26%,
macrosomia 11%, respiratory distress 32%, sepsis 20%, hypothermia 25%, congenital cardiac
abnormalities 4%, endocrine disorder 4%, family history of metabolic disorder 7%, inborn errors
of metabolism 4%, rhesus hemolytic disease 5%, erythroblastosis fetalis 1%, inadequate feeding
35% and neonates without factors were 6%. Conclusions: The risk factors associate with
neonatal hypoglycemia are, low birth weight, small gestational age, macrodome, respiratory
distress, sepsis, hypothermia and inadequate feeding , and maternal risk factors associate to
neonatal hypoglycemia was Eclampsia, Maternal diabetic mellitus, and maternal drug uses