Abstract
Objective: To determinate risk factors associated to neonatal hypoglycemia in healthy newborns. Materials and methods: Case-control study nested in a retrospective cohort. Logistic regression analysis. Results: 40 cases and 40 controls were evaluated. The main risk factors according to the literature were reported. Skin to skin care was found as an isolated protective factor to develop neonatal hypoglycemia, although, the regression logistic analysis showed, that only the need to enhance feeding with formula was a risk factor to develop neonatal hypoglycemia (OR=9). Conclusion: Inadequate exclusive breastfeeding remains the major risk factor for transient neonatal hypoglycaemia in healthy term newborn, leading to increased use of formula
Adamkin DH. Neonatal hypoglycemia. Curr Opin Pediatr. 2016;28:150-5.
Blanco L, Massieu-Trigo L. Mecanismos de muerte neuronal asociados a la hipoglucemia. Arch Neurocien (Mex).
;10(2):83-91.
Courtney B, Grayson S, Mark P. Management strategies for neonatal hypoglycemia. J Pediatr Pharmacol Ther. 2013;18:3.
Harris DI, Weston PJ. Incidence of neonatal hypoglycemia in babies identified as at risk. J Pediatrics. 2012;161:5.
Wight N, Marinelli KA, The Academy of Breastfeeding Medicine. ABM Clinical Protocol #1: Guidelines for blood glucose monitoring and treatment of hypoglycemia in term and late-preterm neonates. Breastfeed Med. 2014;9(4).
Hawdon JM. Neonatal hypoglycemia: are evidence-based clinical guidelines achievable? Neoreviews. 2014;15:e91.
Ministerio de Salud y Protección Social de Colombia. Guía de práctica clínica del recién nacido sano. Bogotá: Colciencias; 2013.
Armadans M, Ossorio MF, Pedicone C, Durán P, Ferrero F. Morbilidad en recién nacidos a término en relación a su edad gestacional. Rev Chil Pediatr. 2010;81(5):402-8.
Brown HK, Nixon K. Neonatal morbidity associated with late preterm and early term birth: the roles of gestational age and biological determinants of preterm birth. Int J Epidemiol. 2014;43:802-14.
Zhang X, Kramer MS. Variations in mortality and morbidity by gestational age among infants born at term. J. Pediatr. 2009 Mar;154(3):358-62.
Integrantes del Consenso de la Federación Colombiana de Obstetricia y Ginecología (Fecolsog) y la Federación Colombiana de Perinatología (Fecopen). Racionalización del uso de la cesárea en Colombia. Consenso de la Federación Colombiana de Obstetricia y Ginecología (FECOLSOG) y la Federación Colombiana de Perinatología (FECOPEN). Bogotá, 2014. Rev Colomb Obstetr Ginecol. 2014;65(2):139-151.
Pertierra A, Iglesias I. Hipoglucemia neonatal. An Pediatr Contin. 2013;11(3):142-51.
Unicef. Iniciativa Instituciones Amigas de la Mujer y la Infancia en el marco de los derechos: manual para su aplicación [internet]. Bogotá; 2005. Disponible en: https://www.unicef.org/colombia/pdf/IAMI-1.pdf
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