SOME RISK FACTORS OF HYPOGLYCEMIA IN NEONATES IN PEDIATRIC DEPARTMENT - BACH MAI HOSPITAL

Thị Anh Thương Trần 1,, Văn Đức Bùi 2, Phú Đạt Nguyễn 1
1 Hanoi Medical University
2 Bach Mai Hospital

Main Article Content

Abstract

Objective: Describes some risk factor related to the neonatal hypoglycemia at the Pediatrics Department - Bach Mai Hospital from July 1, 2019 to June 30, 2020. Subject: 261 newborn patients under 7 days old at the Pediatric Department of Bach Mai Hospital. Method: Description prospective. Results: There were 110/261 children with hypoglycemia, accounting for 42.1%. Premature babies (37 weeks) have a risk of hypoglycemia 18.28 times higher than those born at full term (> 37 weeks), (p<0.05).The rate of hypoglycemia in children under 2500gram was 3.39 times higher than that in children above 2500gram, (p<0.05). The rate of hypoglycemia in children with infection was 2.35 times higher than the children without infection, (p<0.05). No association of neonatal hypoglycemia was found between diabetes and hypertensive mother. Conclusion: The rate of neonatal hypoglycemia is 42.1%, the rate of hypoglycemia is higher in the low-birth weight neonates, the more premature neonate the higher rate of hypoglycemia.

Article Details

References

1. WHO. Department of reproductive Health and Research, Examination of the newborn baby. Managing Newborn Problem. (2003)10-24.
2. Harris D.L, Weston P.J, Harding J E. Incidence of neonatal hypoglycemia in babies identified as at risk. J Pediatr. (2012) 161(5), 787-791.
3. Lê Vũ Phong. Nghiên cứu sự biến đổi đường máu ở trẻ sơ sinh bệnh lý giai đoạn sơ sinh sớm tại khoa nhi bệnh viện trường Đại học Y Dược Huế. Luận văn thạc sĩ y học. (2010).
4. Khan I, Muhammad T, Khan M.Q. Frequence and clinical characteristic of symptomatic hypoglycemia in neonates. Gomal Journal of Medical. (2010)117-120.
5. Lê Thị Hồng. Hạ glucose máu sơ sinh.Tạp chí Y học thực hành. (2002). (438): 44 - 46.
6. Saini A, Gaur B, Singh P. Hypoglycemia in low birth weight neonates: frequency, pattern, and likely determinants. International Journal of Contemporary Pediatrics. 2018.
7. Mugalu J, Nakakeeto M, Kiguli S, et al. Aetiology, risk factors and immediate outcome of bacteriologically confirmed neonatal septicaemia in Mulago hospital, Uganda. Afr Health Sci. 2006;6(2):120-126.
8. Ferrara A, Weiss NS, Hedderson MM, et al. Pregnancy plasma glucose levels exceeding the American Diabetes Association thresholds, but below the National Diabetes Data Group thresholds for gestational diabetes mellitus, are related to the risk of neonatal macrosomia, hypoglycaemia and hyperbilirubinaemia. Diabetologia. 2007;50(2):298-306.
9. Mitchell NA, Grimbly C, Rosolowsky ET, et al. Incidence and Risk Factors for Hypoglycemia During Fetal-to-Neonatal Transition in Premature Infants. Front Pediatr. 2020;8.