학술논문

Evaluation of cord blood glucose levels in the management of high-risk newborns of hypoglycemia / 低血糖ハイリスク児の管理における臍帯血血糖値の評価
Document Type
Journal Article
Source
日本周産期・新生児医学会雑誌 / Journal of Japan Society of Perinatal and Neonatal Medicine. 2022, 58(3):523
Subject
Cord blood
Hypoglycemia
blood glucose level
delivery mode
high risk neonates
Language
Japanese
ISSN
1348-964X
2435-4996
Abstract
Objective: We retrospectively examined the evaluation of cord blood glucose levels in predicting postnatal hypoglycemia and differences in blood glucose levels according to risk factors for hypoglycemia and modes of delivery. Subjects and methods: The subjects were 230 in-born babies between April 2021 and March 2022 who had risk factor of hypoglycemia and were measured for blood glucose levels. We compared 1-hour after birth and cord blood glucose levels and determined the cut-off value of cord blood glucose levels for predicting hypoglycemia. We also examined whether there were differences in blood glucose levels by risk factor and mode of delivery. Result: Cord blood glucose levels were significantly lower in the hypoglycemia group and the cut-off value of cord blood for hypoglycemia was 71mg/dl in all cases. There were also differences in blood glucose levels in 1-hour after birth and in cord blood depending on risk factors and mode of delivery. Conclusion: Cord blood glucose levels are considered to be useful in predicting postnatal hypoglycemia, and may help with early intervention for hypoglycemia.