ISRA MEDICAL JOURNAL p-ISSN: 2073-8285
e-ISSN: 2413-9289
A Quarterly Published Journal of Isra University, Pakistan
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السبت 27 صفر 1444
Saturday 24th September 2022
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Title:
FREQUENCY AND RISK FACTORS OF HYPOGLYCEMIA IN NEONATAL NURSERY IN DUHOK
Authors:
AKREM M. ATRUSHI
Published on:
2016-03-31
Journal Reference:
Volume 8 - Issue 1     January - March 2016
Pages:
39-42
Download Abstract:
DOI:

ABSTRACT

OBJECTIVE: To determine the frequency of neonatal hypoglycemia and its underlying risk factors in neonatal nursery of maternity hospital and to determine the leading causes of admission among hypoglycemic neonates.

STUDY DESIGN: A cross sectional study.

PLACE AND DURATION: The Duration of study was six months from March 1st 2015 to September 1st 2015 and conducted at The Neonatal Nursery in Maternity Hospital in Duhok, North of Iraq.

METHODOLOGY: All neonates admitted to neonatal nursery in maternity hospital during the study were included. Blood glucose was measured by heel stick. Diagnosis of hypoglycemia was made as blood glucose <35 mg/dl, <40 mg/dl and <45 mg/dl at age 1-3 hours, 3-24 hours in > 24 hours respectively. Their data including age, gestational age, weight and weight for gestational age, feeding, Apgar score and the underlying cause of admission. These data were analysed using SPSS 19 to find the clinical significance.

RESULTS: Among 342 neonates, 17.78% (n=61) had hypoglycemia. The age of hypoglycemic is 1-2 days in 83.6% (n=51) p=0.075. Of hypoglycemics 19.67% (n=12) were premature p=0.041. Low birth weight was seen in 29.5% (n=18) of hypoglycemic neonate. Large birth weight was seen in 11.47% (n=7) p=0.031 .Of hypoglycemics 13.11% (n=8) had low oxygen saturation SpO2 p=0.106. Only 22.95% (n= 14) of cases started oral feeding p=0.13. In 52.45 %( n= 32) of cases there was a low APGAR p=0.029. The leading underlying diseases in hypoglycemic neonates were transient tachypnea of newborn37.7% (n=23), hypoxic ischemic encephalopathy 32.9 %(

n=20) respiratory distress syndrome 13% (n=8) p=0.019.

CONCLUSION: Hypoglycemia is common on neonatal nursery. Most common age is 1-2 days. Prematurity, low and high birth weight and low Apgar score are significant factors. The leading causes of admission were transient tachypnea of newborn, hypoxic ischemic encephalopathy and respiratory distress syndrome.

KEY WORDS: Neonates, Hypoglycemia, Nursery, APGAR, Aetrology