1102 Evaluation of Incidence and Etiology of Neonatal Hypoglycemia in Emamreza Hospital Nicu

Abstract

Introduction: Hypoglycemia is a common problem in neonatal period and can cause many undesirable neurological effects such as : Seizures, Psychomotor retardation and decreased IQ. the goal of this study is to determine the incidence and etiology of hypoglycemia in neonataes.

Methods: this discriptional study was performed on 927 neonates admitted in Emam Reza hospital NICU over a one year period. After admission in NICU blood sugar was tested with glucometer and if it was less than 40mg/dl and if this low level was confirmed by laboratory, the patient entered this study. for the determination of etiology of hypoglycemia more diagnostic tests were performed and according to history, physical examination and laboratory findings the etiology of hypoglycemia was defined and finally all these information were recorded in the questionnaire.

Results: According to this study, 7.5% of neonates that admitted in Emam Reza hospital NICU had hypoglycemia and the most common Etiologies for hypoglycemia included: prematurity, Asphyxia and SGA.

Conclusion: Incidence of neonatal hypoglycemia in our NICU is identical that of western countries and is less than the incidence of hypoglycemia in developing world. and because the most common etiology of neonatal hypoglycemia is prematurity, SGA and Asphyxia, we can decrease it's incidence through better control of preterm deliveries and through prevening preterm labor and also institution of good resucittation measures when needed.

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