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Clinical profile of hypoglycemia in newborn babies in a rural hospital setting.

Authors:Dr.B.Kiran, Dr.Dhananjaya.C.D
Int J Biol Med Res. 2011; 2(4): 1110 – 1114  |  PDF File

Abstract

Objectives : To study the frequency of hypoglycemia, clinical features and the risk factors associated with development of hypoglycemia in newborns. Design: Cross-sectional study Setting:.All babies admitted to NICU, S AH & RC were included in the study. Subjects:. 366 newborn babies admitted to NICU were included in the study during the study period of 18 months. Methods:. Blood sugar was screened by glucometer at 3,24,48 and 72 hours of age or whenever any symptoms suggestive of hypoglycemia develops. Detailed clinical history , examinations and necessary laboratory investigations to diagnose high risk neonates were recorded. Results: 38 Newborn babies were hypoglycemic out of which 60% were asymptomatic and 40% were symptomatic. Males were 22(57.89%), Females were 16(42.10%), overall incidence of hypoglycemia is 4.2%, in that, Preterm -11.9%, Term -2.9% ,SGA-14.75%, LGA-22.22%. 21 cases (55.26%) presented hypoglycemia on day 2, 10 (26.31%) on day 1 and 3 7(18.42%) on day 3. Maternal risk factors contributed to the development of hypoglycemia were IGDM/IDM (40%), prolonged labour (15.35%) and eclampsia (40%). In newborn risk factors causing hypoglycemia, birth asphyxia had highest incidence of 26.86% followed by RDS and septicemia both 15%. In birth asphyxia, term babies were more prone to hypoglycemia with incidence of 61.11%.