Neonatal Hypoglycaemia, a Literature Review.
The key words used when researching this review: Neonatal hypoglycaemia/hypoglycemia, New-born hypoglycaemia, Low plasma glucose level, New-born/Infant low blood sugar, Hypoglycaemia in preterm/high risk neonates, Hypoglycaemia/breastfeeding, gluconeogenesis/ketone bodies. The databases and search engines used: Google scholar, CINHAL and Medline. Hypoglycaemia is common among neonates, therefore Healthcare professionals must be aware of the risk factors that predispose infants, allowing for early screening so that asymptomatic hypoglycaemia can be detected and treated early preventing more severe or symptomatic hypoglycaemia. This essay will examine the physiology behind neonatal hypoglycaemia and the neonates at risk, addressing the symptoms and management of neonates which historically has been complicated by a lack of consensus on a clinical definition of a normoglycaemic range. This topic is valuable to the student midwife as you often come across babies that are reluctant to feed or sleepy when assisting breastfeeding within the early postnatal period. How as a health professional can one determine which neonates slow to feed should we be more concerned about, considering hypoglycaemia and the dangers of a repeatedly low blood glucose level, whilst also bearing in mind the mother’s history, the birth, gestation, weight and health of the neonate? To bring Neonatal hypoglycaemia into context this essay will outline a recent case scenario I came across on a Post-natal ward in London. A Late Preterm Male Infant was born weighing 2440g at 35 weeks + 2 days gestation to a Primiparous mother of 40 years. Gravida 1, Para 0.(O Positive, Rubella Immune). She had previously been admitted to the Maternal and Fetal Assessment Unit after suffering from Pre-term premature rupture of membranes (PPROM) at 32 weeks + 4 days, due to a fall, her pregnancy was low risk before this with no complications. She was given Dexamethasone...
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