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NEONATAL HYPOGLYCAEMIA AND MATERNAL TOXAEMIA
Author(s) -
KOlVlSTO M.,
JOUPPILA P.
Publication year - 1974
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.1974.tb16999.x
Subject(s) - medicine , hypoglycemia , obstetrics , pediatrics , intensive care medicine , endocrinology , diabetes mellitus
. Koivisto, M., Jouppila, P. (Departments of Paediatrics, and Obstetrics and Gynaecology, University of Oulu, Oulu, Finland). Neonatal hypoglycaemia and maternal toxaemia. Acta Paediatr Scand, 63:743, 1974.–The incidence of hypoglycaemia was determined in 131 newborn infants of toxaemic mothers. The blood glucose level was determined three times daily during the first 3 days of Life. Blood glucose levels ≥20 mg/100 ml occurred in 2496, and levels <30 mg/100 in 6596 of the whole series. The incidence of hypoglycaemia was highest, 6196 ≥20 mg/100 ml, among the infants horn to toxaemic mothers with low urinary oestriol; the. corresponding incidence for mothers with normal oestriol was 1996. The incidence was 3596 when the maternal toxaemia was severe, and 1696 when it was mild. SFD infants had an incidence of 3796, compared with 1996 for infants of normal birthweight. The relative weight of the placenta did not correlate with the occurrence of hypoglycaemia. Symptomatic hypaglycaemia was noted in 19 infants. The reduced energy reserves in newborn infants of toxaemic mothers with severe pre‐eclampsia and/or a low urinary oestriol level and in infants with intrauterine growth retardation, together with increased utilization of carbohydrates result in a high incidence of neonatal hypoglycaemia. An added stress, such as birth hypoxia and late initiation of feeding, increase the likelihood of hypoglycaemia.