Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
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Glucose Variations in the First Day of Life of Newborns under Observational Surveillance

관찰감시를 요하는 저위험신생아의 생후 초기 혈당변이 탐색

  • Cho, Jung Ae (Department of Nursing, College of Medicine, Inha University) ;
  • Son, Kyoung Hee (Department of Nursing, College of Medicine, Inha University) ;
  • Eom, Hyun Young (Department of Nursing, College of Medicine, Inha University) ;
  • Lim, Seo Hae (Department of Nursing, College of Medicine, Inha University) ;
  • Jun, Yong Hoon (Department of Pediatrics, College of Medicine, Inha University) ;
  • Ahn, Young Mee (Department of Nursing, College of Medicine, Inha University)
  • 조정애 (인하대학교 의과대학 간호학과 대학원) ;
  • 손경희 (인하대학교 의과대학 간호학과 대학원) ;
  • 엄현영 (인하대학교 의과대학 간호학과 대학원) ;
  • 임서해 (인하대학교 의과대학 간호학과 대학원) ;
  • 전용훈 (인하대학교 의과대학 소아청소년과) ;
  • 안영미 (인하대학교 의과대학 간호학과)
  • Received : 2020.02.29
  • Accepted : 2020.04.03
  • Published : 2020.04.30
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Abstract

Purpose: Nursing protocols for glucose management are well known for both healthy term newborns and high-risk newborns. However, for less risky newborns who are under only observation surveillance, hypoglycemia could be overlooked unless clinical symptoms develop. Methods: A retrospective study was performed to explore factors influencing variations in glucose levels in 91 newborns who did not require any interventions, but were under nursing surveillance, at a level II neonatal intensive care unit. Data were retrieved from electrical medical records on glucose levels, demographic characteristics, and other clinical characteristics of newborns in their first day of life from January 2016 to May 2019. Results: Glucose levels tended to stabilize within the normal range (60~80 mg/dL) as time passed during the first day of life. Cesarean section, multiple gestation, abnormal growth, and later preterm birth were associated with low glucose levels in the first 2 hours of life. Thirty-one newborns experienced a hypoglycemic episode (< 45 mg/dL) during the first 24 hours of life. Conclusion: The findings of this study support the active encouragement of early feeding within 2 hours of birth and urgent adoption of a structural protocol for glucose surveillance in newborns with potential health problems immediately after birth.

Keywords

References

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