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Background: Hypoglycemia is one of the commonest metabolic complications seen during neonatal period. In healthy newborns low blood glucose may not have much signicance and merely reect normal metabolic adaptation to extra-uterine life. However, in high-risk newborns, prolonged and/or recurrent episodes of hypoglycemia may negatively affect neurological and developmental prognosis. The incidence of hypoglycemia varies worldwide depending upon the blood sugar measurement protocols and feeding policies. There is paucity of data on incidence of hypoglycemia in institutions where exclusive breastfeeding is followed. Aims and Objectives: To determine the incidence and associated risk factors of hypoglycemia in rst 72 hours of life among exclusively breastfed healthy high-risk newborns.Study Design: Observational study Setting: Department of Pediatrics, Nalanda Medical College and Hospital Patna, Bihar, India. Period: From 1st July 2019 to 31st December 2019. Material & Methods: The Observational study enrolled 560 exclusively breastfed high-risk newborns (infant of diabetic mother (IGDM/IDM), large-for-gestation (birth weight >90th percentile), small-for-gestation (birth weight 1800 to 30 kg/m2, born through caesarean section. Conclusion: in high-risk exclusively breast fed neonates blood glucose level should be regularly monitored for at least 1st 72 hours of life with special attention to 1st 24 hours. |
