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Pediatría (Asunción)

On-line version ISSN 1683-9803

Abstract

LEZCANO DE LEGUIZAMON, María Cristina  and  RIOS GONZALEZ, Carlos. Frequency and risk factors for neonatal hypoglycemia in a regional hospital, 2021. Pediatr. (Asunción) [online]. 2022, vol.49, n.3, pp.181-187. ISSN 1683-9803.  https://doi.org/10.31698/ped.49032022007.

Introduction:

Hypoglycemia, which is the reduction in the concentration of glucose in the circulating blood, is a common metabolic disorder in the newborn (NB), especially in those who have predisposing factors such as low birth weight, large for age gestational, preterm, respiratory distress, sepsis, maternal diabetes and hypertension and other less frequent risk factors.

Objectives:

to analyze the frequency of hypoglycemia and its relationship with risk factors in Newborns (NBs) at the Encarnación Regional Hospital in the year 2021.

Methodology:

this was an observational, descriptive cross-sectional study with an analytical component, in children admitted to the rooming-in section of the Neonatology Service of the Encarnación Regional Hospital, from April to June 2021. We included infants who, due to presenting some risk factor, had their capillary glucose level measured with a test strip and a glucometer.

Results:

70% of newborns were born by cesarean section, 57% were males 8.2% had insufficient prenatal care, 25% were preterm, low Apgar scores were present in 1.18%, respiratory distress in 11%, low birth weight in 17%, large for gestational age in 35%. Maternal gestational diabetes was present in 22% and maternal hypertension in 12%. Risk factors were present in 21.8% and the incidence of hypoglycemia was 4.1%.

Conclusion:

In the 774 children who were born during this period, the frequency of hypoglycemia was lower than that cited in the literature. The analysis was carried out using Fischer's statistical tests and the related risk factors in a statistically significant way (p=0.05) were insufficient prenatal control, maternal hypertension, gestational diabetes, prematurity and small for gestational age.

Keywords : Hypoglycemia; risk factors; newborns.

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