Does a Good Quality Breastfeed Improve the Blood Glucose Concentration in Hypoglycaemic Babies?
Neonatology
; 115(3): 234-238, 2019.
Article
en En
| MEDLINE
| ID: mdl-30669142
ABSTRACT
BACKGROUND:
Feeding is often used for the initial treatment of hypoglycaemia, but it is not known if pre-feed alertness and observed quality of breastfeeding are related to the subsequent change in blood glucose concentration.OBJECTIVE:
We sought to determine if assessment of pre-feed alertness and the observed quality of the breastfeed were related to the subsequent change in blood glucose concentration in hypoglycaemic babies.METHODS:
Babies were ≥35 weeks, ≤48 h old, identified as being at-risk for hypoglycaemia (infants of diabetic mothers, small [< 2,500 g or < 10th centile] or large [birthweight > 4,500 g or > 90th centile] birthweight) and hypoglycaemic (< 2.6 mM). Midwives assessed pre-feed alertness and quality of feeding at each hypoglycaemic episode. Change in blood glucose concentration was assessed within 15-90 min.RESULTS:
One hundred and thirty-one babies had 163 hypoglycaemic episodes. Babies assessed as alert had a greater increase in blood glucose concentration than sleepy babies (mean [95% CI] awake 0.71 [0.61-0.82] vs. sleepy 0.51 [0.35-0.66] mM, p = 0.04). The change in blood glucose concentration was similar after feeds of different observed quality (offered, 0.50 [0.29-0.72], latched, 0.66 [0.52-0.81], swallowing 0.65 [0.54-0.76] mM, p = 0.13).CONCLUSIONS:
Observed quality of breastfeeding is not a useful predictor of the change in blood glucose concentration in hypoglycaemic babies.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Glucemia
/
Lactancia Materna
/
Hipoglucemia
Tipo de estudio:
Prognostic_studies
Límite:
Female
/
Humans
/
Male
/
Newborn
/
Pregnancy
Idioma:
En
Revista:
Neonatology
Asunto de la revista:
PERINATOLOGIA
Año:
2019
Tipo del documento:
Article
País de afiliación:
Nueva Zelanda