TITLE:
Prevalence of Hypoglycaemia in Newborn at Benue State University Teaching Hospital, Makurdi, Benue State, Nigeria
AUTHORS:
Martha Omoo Ochoga, Michael Aondoaseer, Rose Okwunu Abah, Onyilo Ogbu, Emeka Uba Ejeliogu, Geoffrey Ingyoroko Tolough
KEYWORDS:
Neonatal Hypoglycaemia, Prevalence, Risk Factors, Clinical Manifestations
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.8 No.2,
June
21,
2018
ABSTRACT: Background: Neonatal hypoglycaemia is the most common metabolic
abnormality in neonates and is associated with neurological damage and death
when it occurs during the first few days of life. The main objective of this study was to determine
the prevalence of hypoglycaemia in the newborn and the associated
maternal/neonatal risk factors. Setting
and Methods: This prospective descriptive study was conducted at
the labour room and the Special Care Baby Unit of Benue State University
Teaching Hospital, Makurdi, Benue State, Nigeria, between July 2017-March 2018. Results: Of the 168 neonates, 140 (83.3%) were delivered in
the hospital and 28 (16.7%) were delivered outside the hospital. Hypoglycaemia was found in 19 (11.0%) of the neonates.
The mean (standard deviation) of gestational age was 37.8 (3.0) weeks. 91 (54.2%)
were males and 77 (45.8%) were females. Male to female ratio is 1.2:1. A significantly
higher proportion of 9 (32.1%) out born compared with 10 (7.1%) of inborn, 4 (44.4%)
of birth 1500 g compared with 5 (22.7%) birth weight 1500 g - 2499 g and 10 (7.3%) of birth weight ≥ 2500 g and 7 (22.6%) of babies with
temperature ≤ 36.5°C compared with 7 (6.3%) of temperature 36.5°C - 37.5°C and 5 (19.2%) of temperature > 37.5°C, demonstrated hypoglycaemia respectively. Neonatal
risk factors, such as, prematurity, low birth weight and respiratory
distress syndrome, were significantly associated with hypoglycaemia
p-value of 0.02, 0.01 and 0.00 respectively. There were no statistically significant associations
between maternal risk factors and hypoglycaemia. The common presenting symptoms
were jitteriness,