Child Health Nurs Res.  2020 Apr;26(2):212-221. 10.4094/chnr.2020.26.2.212.

Glucose Variations in the First Day of Life of Newborns under Observational Surveillance

• Cho JA
• Son KH
• Eom HY
• Lim SH
• Jun YH
• Ahn YM

• KMID: 2501268
• DOI: http://doi.org/10.4094/chnr.2020.26.2.212

Abstract

Purpose
Nursing protocols for glucose management are well known for both healthy term newborns and high-risk newborns. However, for less risky newborns who are under only observation surveillance, hypoglycemia could be overlooked unless clinical symptoms develop.
Methods
A retrospective study was performed to explore factors influencing variations in glucose levels in 91 newborns who did not require any interventions, but were under nursing surveillance, at a level II neonatal intensive care unit. Data were retrieved from electrical medical records on glucose levels, demographic characteristics, and other clinical characteristics of newborns in their first day of life from January 2016 to May 2019.
Results
Glucose levels tended to stabilize within the normal range (60~80 mg/dL) as time passed during the first day of life. Cesarean section, multiple gestation, abnormal growth, and later preterm birth were associated with low glucose levels in the first 2 hours of life. Thirty-one newborns experienced a hypoglycemic episode (< 45 mg/dL) during the first 24 hours of life.
Conclusion
The findings of this study support the active encouragement of early feeding within 2 hours of birth and urgent adoption of a structural protocol for glucose surveillance in newborns with potential health problems immediately after birth.

Keyword

혈당; 저혈당; 신생아집중치료실; 신생아; Glucose; Hypoglycemia; Neonatal intensive care units; Newborns