A Study of Blood Glucose Level in the Newborn
Abstract
One hundred and thirteen newborns admitted to the nursery ward of the Child Health Department from June 1, 1976 until December 31, 1976 were selected for this study. They were, 34 normally delivered term infants, 26 SGA with birth-weight ranging 1750-2400 gm and 30 high risk term infants and 23 premature. Blood glucose was examined at l, 3 and 6 hours after birth using 0-Toluidine method.
It was found that in the normal term infants there was a significant increase of mean blood glucose level at 3 hours after birth (p<0.05), followed by a slight decrease at 6 hours of age. In small for gestational age and premature infants a slight increase was observed at 3 hours of age, followed by a moderate but insignificant decrease at 6 hours of age. In the high-risk-term-infants, almost no fluctuation of blood glucose level was detected throughout the study.
This study shows that 6-hour-fasting period for normal term, S.G.A. and premature infants with birth weight ranging from 1750-2500 grams, and high risk-term infants is justified to be safe with regard to the risk of hypoglycemia.
References
2. CAMPBELL, M.A., FERGUSON, I.C. et al. : Diagnosis and Treatment of Hypoglycemia in the Newborn. Arch. Dis. Child. 42 : 353 (1967).
3. CORNBLATH, M. and REISNER, S.H.: Blood Glucose in the Neonate and its Clinical Significance. N. Engl. J. Med. 273 : 378 (1965).
4. DE LEEUW, R. and DE VRIES, I.J . : Hypoglycemia in small-for-dates Newborn Infants. Pediatr. 58 : 18 (1976).
5. LUBCHENCO, L.O. and BARD, H.: Incidence of hypoglycemia in newborn infants classified by birth weight and gestational age. Pediatr. 47 : 831 (1971).
6. SHELLY, M.A. and NELLIGAN, G.A.: Neonatal Hypoglycemia. Br. Med. J. 22: 34. 39 (1966).
7. SMALLPIECE, V. and DAVIES, P .A. : Immediate Feeding of Premature Infants with Undiluted Breast Milk. Lancet ii : 1349 (1964 ).
8. WU, Y.K. and TEILMAN, A.P.: Effects of Early Feeding in Premature Newborn Infants. J. Pediatr. 69 : 967 (1956).
Copyright (c) 2021 Muzief Munir, T. Husada, R. E. J. Rotty
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
Published 2021-12-16