Amir Rashid, Arif Zaheer, Humayun Iqbal Khan.
Neonatal hypoglycemia: frequency and clinical manifestations in a tertiary care centre..
Pak Paed J Jan ;34(2):80-4.

Objective: The present study was under taken to find out the frequency and risk factors of hypoglycemia in newborns in given sample and their clinical manifestations. Method: The study was conducted in the Neonatal Unit of Paediatric Ward, Lahore General Hospital, Lahore, during the period of January 2009 to January 2010. Neonates presented to Neonatal Unit were screened for hypoglycemia with the consent of their parents and hypoglycemic neonates were evaluated for clinical manifestations and categorized into different groups according to weight and gestational age. Results: Total of 784 neonates were studied. The frequency of hypoglycemia was 11.5% of neonatal admissions. Highest number was 42% in preterm small for gestational age (SGA) group. Frequency in term-SGA was 13% and in post term SGA 15%. The common clinical features in hypoglycemic babies were refusal to feed (48%), irritability and jitteriness (38%), tachypnea (29%), cyanosis (19.5%) and seizures in 15% cases. Conclusion: Hypoglycemia was frequently seen in newborn babies in our setup, especially in preterm and SGA categories. Early monitoring and management can prevent the subsequent morbidity and mortality.

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