Supplementation-based hypoglycemia guidelines including donor breast milk reduce NICU admission
| Autor: | Nicholas Carr, Kaashif A. Ahmad, Maria Cristina Gallup, Donald J. Rees, Dena M. Miller, Angela Fagiana, Adharsh Ponnapakkam |
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| Rok vydání: | 2021 |
| Předmět: |
Blood glucose testing
Pediatrics medicine.medical_specialty business.industry Neonatal hypoglycemia Breastfeeding Obstetrics and Gynecology Guideline Breast milk Hypoglycemia medicine.disease Asymptomatic Expressed breast milk 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Pediatrics Perinatology and Child Health medicine 030212 general & internal medicine medicine.symptom business |
| Zdroj: | Journal of Perinatology. 41:2088-2094 |
| ISSN: | 1476-5543 0743-8346 |
| DOI: | 10.1038/s41372-021-01069-8 |
| Popis: | To study the effects of a supplementation-based hypoglycemia guideline including donor (DM) on NICU admission, exclusive breastfeeding, and blood glucose concentrations in infants at-risk for neonatal hypoglycemia (NH). We integrated DM, feeding supplementation, and reduced frequency of blood glucose testing into an NH bundle for term and late-preterm newborns. We then examined NICU admission rates and rates of exclusive breastfeeding at discharge. NICU admission rates were reduced to 6% (−10%). Exclusive breastfeeding rates increased to 55% (+22%). Median cost of DM utilization was $13.73 per patient with an average volume of 50.8 ml/infant. DM supplementation resulted in similar times to last hypoglycemic episode and greater increases in blood glucose compared to expressed breast milk or breastfeeding alone (+9.6 mg/dL, p |
| Databáze: | OpenAIRE |
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