The significance of gestational age and body mass in the manifestations of hypoglycemia in neonates
Molnar Sabo, I.
Medicinski Pregled 44(7-8): 336-339
1991
ISSN/ISBN: 0025-8105 PMID: 1806781 Document Number: 387457
In this paper the author studies the influence of body mass and gestational age on the range of glycemia. A group of 204 children which were born under the influence of various risk factors was studied; 54 of these children had low glycemia values, and 150 of them had other risks. The glycemia values of these children were compared to the glycemia values of 30 children from the control group. The author found that the gestation of age and body mass at birth are of great significance for the appearance of hypoglycemia. The mean body mass is much lower in the group of children with hypoglycemia (X = 2741.6) than in the control group (X = 3306.6 gr) and the group of children with all the other risks (X = 3112.7 gr). The group of children with a body mass that is small for their gestation of age (SGA) stands out in particular. In this paper there have been 9 SGA children, and 6 of them belonged to the group of children with hypoglycemia, and 3 of them had symptomatic hypoglycemia, while out of the entire group (54) 15 children had symptomatic hypoglycemia. None of the children from this group had convulsions. Glycemia was registered every 2 hours even after 24 hours following birth. If low values happened to be discovered, every 4 hours following birth 10% glucose was introduced per os. In all the children feeding was introduced 12 hours after birth, and in children with hypoglycemia this was supplemented by adding 10% glucose which was mixed with the milk which was drawn from the mother.