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Risk Factors for Hypoglycemia Among Neonates: A Prospective Cohort Study Among Pregnant People With Gestational Diabetes Mellitus.
- Source :
- Journal of Perinatal & Neonatal Nursing; Jan-Mar2024, Vol. 38 Issue 1, p65-72, 8p
- Publication Year :
- 2024
-
Abstract
- Objective: Neonatal hypoglycemia (NH) is the most frequent complication in neonates born to pregnant people with gestational diabetes mellitus (GDM) and an important cause of brain damage and death of neonates. We explored the risk factors for NH in neonates of pregnant people with GDM. Methods: A prospective cohort study was conducted involving 322 pregnant people with GDM at the Guangzhou Women and Children's Medical Centre. Maternal sociodemographic, clinical, and biochemical data, as well as general characteristics of neonates, were collected to analyze their associations with NH in neonates of pregnant people with GDM. Results: The incidence of NH among neonates of pregnant people with GDM was 19.57% (63/322). After adjustment for confounders, the factors significantly associated with an increased risk of NH were cesarean delivery (relative risk [RR] = 3.44; 95% confidence interval [CI], 1.83-6.45), red blood cell (RBC) count (RR = 2.19; 95% CI, 1.22-3.96), and 1-hour postprandial glucose (RR = 2.35; 95% CI, 1.23-4.46) during pregnancy, whereas later gestational age (RR = 0.58; 95% CI, 0.42-0.80) and multiparity (RR = 0.32; 95% CI, 0.16-0.66) were associated with a reduced risk of NH. Conclusion: Cesarean delivery, maternal 1-hour glucose of the oral glucose tolerance test, and increased RBC count of pregnant people with GDM are independent risk factors for NH, while later gestational age and multiparity are protective factors. [ABSTRACT FROM AUTHOR]
- Subjects :
- RELATIVE medical risk
CONFIDENCE intervals
PREGNANT women
NEWBORN infants
RISK assessment
T-test (Statistics)
HYPOGLYCEMIA
DESCRIPTIVE statistics
CHI-squared test
PARITY (Obstetrics)
RESEARCH funding
GESTATIONAL diabetes
LOGISTIC regression analysis
DATA analysis software
CESAREAN section
DELIVERY (Obstetrics)
ERYTHROCYTES
LONGITUDINAL method
DISEASE risk factors
DISEASE complications
Subjects
Details
- Language :
- English
- ISSN :
- 08932190
- Volume :
- 38
- Issue :
- 1
- Database :
- Supplemental Index
- Journal :
- Journal of Perinatal & Neonatal Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 175662113
- Full Text :
- https://doi.org/10.1097/JPN.0000000000000723