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ORIGINAL ARTICLE
Year : 2014  |  Volume : 28  |  Issue : 2  |  Page : 108-111

Hypoglycemia in newborn in Manipur


1 Department of Biochemistry, Regional Institute of Medical Sciences, Imphal, Manipur, India
2 Department of Obstetrics and Gynaecology, Regional Institute of Medical Sciences, Imphal, Manipur, India

Correspondence Address:
Prof. Maisnam Amuba Singh
Department of Biochemistry, Regional Institute of Medical Sciences, Imphal - 795 004, Manipur
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-4958.141096

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Background: Glucose is the major source of energy for organ function. Hypoglycemia in neonates with its high brain-to bodyweight ratio is associated with an increased risk of morbidity and mortality. The objective of this study was to determine the frequency and clinical characteristics of hypoglycemia in neonates. Methodology: Cross sectional study conducted at the Department of Biochemistry and Obstetrics and Gynaecology, RIMS, from September 2009 to August 2010. 125 newborns delivered at dept of Obst and gynae RIMS were randomly selected for the cases. Gestational age, birth weight and clinical features were recorded on questionnaire. Blood glucose level was checked and any value less than 40mg/dl was considered as hypoglycemia. Data was analyzed by SPSS version 11. Results: Out of 125 neonates, 19 (15.20%) were found to be hypoglycemic. Hypoglycemia was more common in males 11 (32.7%) of 65 male babies, as compared to females 08 (13.33%) of 60 female babies and was more frequent in first 0-24 hrs of life 12 (63.15%) than at 48-72 hrs 3 (15.78%). Hypoglycemia was present in 06 (23.08%) small-for-gestational age,13 (13.13%) appropriate-for-gestational age. Hypoglycemia was seen in 4 (19.05%) preterm and 15 (14.42%) term babies. Jitteriness was the most common symptom of hypoglycemia in 8 (88.88%) cases of 9 symptomatic hypoglycemic cases. Conclusion: Neonatal hypoglycemia is more common in male babies and occurs in the early neonatal age. Blood glucose estimation is mandatory in neonates with signs and symptoms of hypoglycemia.


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