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Neonatal hypoglycemia revisited, 1975.
- Source :
-
Pediatrics [Pediatrics] 1976 Jul; Vol. 58 (1), pp. 10-7. - Publication Year :
- 1976
-
Abstract
- Between 1971 and 1973, the frequency of neonatal hypoglycemia was 4.4/1,000 total inborn live births or 15.5/1,000 low-birthweight infants. During that same time, of 257 transferred infants, 13 or 5.1% were hypoglycemic. The hypoglycemic manifestations differed between the inborn and outborn infants as well as from those previously described for transient symptomatic hypoglycemia. This required a new classification for low blood glucose values in the neonate, based on intrauterine nutrition, stress, symptoms, and underlying pathology. Four categories were defined: category I: early transitional hypoglycemia; category II: secondary hypoglycemia; category III: classical transient hypoglycemia; and category IV: recurrent, severe hypoglycemia. One outborn infant was in the latter group due to beta-cell hyperplasia and was only cured after a 90% pancreatectomy. Data revealed that early treatment of perinatal asphyxia was associated with a decreased frequency of hypoglycemia. While not a prospective survey, the evidence suggested that current neonatal intensive care may decrease the frequency of transient symptomatic neonatal hypoglycemia.
- Subjects :
- Apgar Score
Asphyxia Neonatorum complications
Blood Glucose analysis
Female
Glucose therapeutic use
Humans
Hypoglycemia mortality
Hypoglycemia therapy
Infant Care
Infant Food
Infant, Newborn
Infant, Newborn, Diseases therapy
Pregnancy
Pregnancy Complications
Hypoglycemia epidemiology
Infant, Newborn, Diseases epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 0031-4005
- Volume :
- 58
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Pediatrics
- Publication Type :
- Academic Journal
- Accession number :
- 934764