糖尿病母亲婴儿的早期喂养与新生儿低血糖症
Early feeding and neonatal hypoglycemia in infants of diabetic mothers.
作者信息
Cordero Leandro, Ramesh Shilpa, Hillier Kirsty, Giannone Peter J, Nankervis Craig A
机构信息
Department of Pediatrics, College of Medicine, The Ohio State University Wexner Medical Center, The Ohio State University, Columbus, OH, USA; Department of Obstetrics, College of Medicine, The Ohio State University Wexner Medical Center, The Ohio State University, Columbus, OH, USA.
Department of Pediatrics, College of Medicine, The Ohio State University Wexner Medical Center, The Ohio State University, Columbus, OH, USA.
出版信息
SAGE Open Med. 2013 Dec 19;1:2050312113516613. doi: 10.1177/2050312113516613. eCollection 2013.
OBJECTIVES
To examine the effects of early formula feeding or breast-feeding on hypoglycemia in infants born to 303 A1-A2 and 88 Class B-RF diabetics.
METHODS
Infants with hypoglycemia (blood glucose < 40 mg/dL) were breast-fed or formula-fed, and those with recurrences were given intravenous dextrose.
RESULTS
Of 293 infants admitted to the well-baby nursery, 87 (30%) had hypoglycemia, corrected by early feeding in 75 (86%), while 12 (14%) required intravenous dextrose. In all, 98 infants were admitted to the newborn intensive care unit for respiratory distress (40%), prematurity (33%) or prevention of hypoglycemia (27%). Although all newborn intensive care unit patients received intravenous dextrose, 22 (22%) had hypoglycemia. Of 109 hypoglycemia episodes, 89 (82%) were single low occurrences. At discharge, 56% of well-baby nursery and 43% of newborn intensive care unit infants initiated breast-feeding.
CONCLUSIONS
Hypoglycemia among infants of diabetic mothers can be corrected by early breast-feeding or formula feeding.
目的
研究早期配方奶喂养或母乳喂养对303例A1 - A2级和88例B级 - RF级糖尿病母亲所生婴儿低血糖情况的影响。
方法
对低血糖（血糖<40mg/dL）的婴儿进行母乳喂养或配方奶喂养，对复发的婴儿给予静脉输注葡萄糖。
结果
在入住健康婴儿护理室的293例婴儿中，87例（30%）出现低血糖，75例（86%）通过早期喂养得到纠正，12例（14%）需要静脉输注葡萄糖。共有98例婴儿因呼吸窘迫（40%）、早产（33%）或预防低血糖（27%）入住新生儿重症监护病房。尽管所有新生儿重症监护病房的患者都接受了静脉输注葡萄糖，但仍有22例（22%）出现低血糖。在109次低血糖发作中，89次（82%）为单次低血糖事件。出院时，健康婴儿护理室56%的婴儿和新生儿重症监护病房43%的婴儿开始进行母乳喂养。
结论
糖尿病母亲所生婴儿的低血糖可通过早期母乳喂养或配方奶喂养得到纠正。
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