Abstract
Background: Hypoglycemia is the most common event of failure of metabolic adjustments in the newborn. Changes in maternal and fetal monitoring techniques, administration of glucose-containing solutions during labor, delivery and early feeding in neonates significantly alter blood glucose concentrations during the first week of postnatal life. Subjects and Methods: A total of 90 healthy (60 born by FTND, 30 born by LSCS) term, AGA infants were longitudinally evaluated at birth, at one hour after feeds (post feed), and after 6 hours of life. Plasma glucose was estimated from Heel Prick capillary samples by glucometer method. The influence of mode of delivery, the interval between feeds, sex, birth weight, on blood glucose was analyzed. Results: The way of delivery did not affect the plasma glucose concentration in neonates. There was a substantial increase in blood glucose concentration after the first feed irrespective of their birth weight. It was found that female babies had a higher blood glucose concentration than male babies during our study period. All babies maintained normal blood glucose with the continuation of breastfeeding. Conclusion: Plasma glucose levels are satisfactorily maintained in healthy term infants without resort to pre-lacteal feeds and mode of delivery did not influence plasma glucose. There is no need to check blood glucose levels routinely in an asymptomatic, healthy, term, breastfed infants.
Highlights
Initiation of breastfeeding within half an hour to one hour after birth is one of the essential ways to have successful feeding. [1,2] If the feeding is started early, the dual benefits of colostrums and the budding relationship between mother and baby can be established. [3,4] Considerable attention has been given to the adoption of internal feeding and its role in the prevention of hypoglycemia. [5,6]Changes in maternal and fetal monitoring techniques, administration of glucose-containing solutions during labor and delivery and, early feeding in neonates significantly alter blood glucose concentrations during the first week of postnatal life. [7,8,9] this study is done to evaluate the blood glucose level in full-term neonates before and after the first breastfeed
We found that there was a good correlation between the two ways.Immediately after the estimation of blood glucose within 10 minutes after birth, the baby was put to the breast for feeding in the labor room
Organizations like WHO, UNICEF and Breastfeeding Promotion Network of India (BPNI) are working hard for the last few years to promote exclusive breastfeeding in newborns and encourage the establishment of baby-friendly hospitals all over the world. [12,13] The comparison of mean blood glucose levels in infants born by vaginally & cesarean section, as shown in [Table 8]
Summary
Initiation of breastfeeding within half an hour to one hour after birth is one of the essential ways to have successful feeding. [1,2] If the feeding is started early, the dual benefits of colostrums and the budding relationship between mother and baby can be established. [3,4] Considerable attention has been given to the adoption of internal feeding and its role in the prevention of hypoglycemia. [5,6]Changes in maternal and fetal monitoring techniques, administration of glucose-containing solutions during labor and delivery and, early feeding in neonates significantly alter blood glucose concentrations during the first week of postnatal life. [7,8,9] this study is done to evaluate the blood glucose level in full-term neonates before and after the first breastfeed. [7,8,9] this study is done to evaluate the blood glucose level in full-term neonates before and after the first breastfeed. Subjects and Methods: A total of 90 healthy (60 born by FTND, 30 born by LSCS) term, AGA infants were longitudinally evaluated at birth, at one hour after feeds (post feed), and after 6 hours of life. The influence of mode of delivery, the interval between feeds, sex, birth weight, on blood glucose was analyzed. Results: The way of delivery did not affect the plasma glucose concentration in neonates. Conclusion: Plasma glucose levels are satisfactorily maintained in healthy term infants without resort to pre-lacteal feeds and mode of delivery did not influence plasma glucose. There is no need to check blood glucose levels routinely in an asymptomatic, healthy, term, breastfed infants
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