Health Condition 1: P70- Transitory disorders of carbohydrate metabolism specific to newborn
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All asymptomatic neonates, >35 weeks of gestation with hypoglycemia (blood glucose levels NEONATAL FACTORS Small for gestation (SGA) (Birth weight Large for gestation (LGA) (Birthweight >90th centile or >4000g) Intrauterine growth restriction (IUGR) Discordant twin : Weight 20% less than the larger twin Late preterm (35-36 weeks) Poor feeding Hypothermia MATERNAL FACTORS IDM : Gestational DM, Type 1 DM or Type 2 DM Maternal hypertension treated with Beta blockers Maternal Pre-eclampsia Maternal Eclampsia
Exclusion criteria
Exclusion criteria: 1.Neonates with: i.Any high-risk neonate admitted to NICU for any other reason ii.Perinatal asphyxia iii.Early onset sepsis iv.Critically ill neonates (pH v.Chromosomal disorders vi.Congenital malformations vii.Surgical conditions –like intestinal obstruction/perforation needing stoma and mucus fistula viii.Neonates with congenital or maternal infections 2.Parents who deny consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of NICU admission for hypoglycemia.Timepoint: Outcome will be assessed at the end of 48 hours from introduction into the trial. | — |
Secondary
| Measure | Time frame |
|---|---|
| Exclusive breast feeding established at discharge and at 6 weeks of age Timepoint: Established;Incidence of recurrent hypoglycemia or hyperglycemia after dextrose gel applicationTimepoint: Reduction in incidence of both;Percentage of hypoglycemic episodes in neonates after administration of the gel Timepoint: Reduction in hypoglycemic episodes after gel administration | — |
Countries
India
Contacts
Kasturba Medical College and Hospital