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Supplementation-based hypoglycemia guidelines including donor breast milk reduce NICU admission.
Ponnapakkam, Adharsh; Rees, Donald; Gallup, Maria Cristina; Ahmad, Kaashif A; Miller, Dena; Fagiana, Angela; Carr, Nicholas R.
Afiliación
  • Ponnapakkam A; Department of Pediatrics, Brooke Army Medical Center, San Antonio, TX, USA. adharsh.p.ponnapakkam.mil@mail.mil.
  • Rees D; Department of Pediatrics, Uniformed Services University of Health Sciences, Bethesda, MD, USA. adharsh.p.ponnapakkam.mil@mail.mil.
  • Gallup MC; Department of Pediatrics, Brooke Army Medical Center, San Antonio, TX, USA.
  • Ahmad KA; Mayo Clinic, Rochester, MN, USA.
  • Miller D; Department of Pediatrics, Uniformed Services University of Health Sciences, Bethesda, MD, USA.
  • Fagiana A; Pediatrix Medical Group of San Antonio, San Antonio, TX, USA.
  • Carr NR; Baylor College of Medicine, San Antonio, TX, USA.
J Perinatol ; 41(8): 2088-2094, 2021 08.
Article en En | MEDLINE | ID: mdl-34006969
OBJECTIVE: To study the effects of a supplementation-based hypoglycemia guideline including donor (DM) on NICU admission, exclusive breastfeeding, and blood glucose concentrations in infants at-risk for neonatal hypoglycemia (NH). PROJECT DESIGN: We integrated DM, feeding supplementation, and reduced frequency of blood glucose testing into an NH bundle for term and late-preterm newborns. We then examined NICU admission rates and rates of exclusive breastfeeding at discharge. RESULTS: NICU admission rates were reduced to 6% (-10%). Exclusive breastfeeding rates increased to 55% (+22%). Median cost of DM utilization was $13.73 per patient with an average volume of 50.8 ml/infant. DM supplementation resulted in similar times to last hypoglycemic episode and greater increases in blood glucose compared to expressed breast milk or breastfeeding alone (+9.6 mg/dL, p < 0.05). CONCLUSIONS: A supplementation-based hypoglycemia guideline including donor milk may be an effective way to reduce NICU admissions for asymptomatic hypoglycemia and support mothers in achieving breastfeeding goals.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hipoglucemia / Leche Humana Tipo de estudio: Guideline Límite: Female / Humans / Infant / Newborn Idioma: En Revista: J Perinatol Asunto de la revista: PERINATOLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hipoglucemia / Leche Humana Tipo de estudio: Guideline Límite: Female / Humans / Infant / Newborn Idioma: En Revista: J Perinatol Asunto de la revista: PERINATOLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos