Analysis of potential risk factors for neonatal hypoglycemia during the perinatal period
Objective To explore the relevant risk factors for neonatal hypoglycemia(NH),in order to reduce the occurrence of NH and complications,provide effective prevention and intervention treatment for clinical practice,and provide reference for standardized management of NH.Methods Blood glucose monitoring was conducted on newborns born in the Obstetrical Department of Liuzhou Traditional Chinese Medicine Hospital from July 2020 to June 2023.1680 cases were selected and divided into hypoglycemic group(70 cases)and normal blood glucose group(1610 cases)according to blood glucose measurement values.A study cohort was established,and clinical data of newborns and mothers were collected.Statistical analysis was conducted using t-tests,chi square tests,and logistic regression analysis.Results The maternal age ≥ 35 years old,delivery mode,placental abruption,placenta previa,umbilical cord around the neck,pregnancy-induced hypertension or eclampsia,pregnancy-induced diabetes,maternal obesity,prenatal use of dexamethasone,premature infants,low birth weight infants and macrosomia were all influencing factors of NH(P＜0.05).Multivariate logistic regression analysis found that pregnancy-induced diabetes,maternal obesity,pregnancy-induced hypertension or eclampsia,premature infants,low birth weight infants and maternal age ≥ 35 years old were the main risk factors for NH.Conclusion Premature infants,low birth weight infants,maternal age ≥ 35 years old,maternal obesity,pregnancy-induced diabetes,pregnancy-induced hypertension or eclampsia are the main risk factors for NH.It is of great clinical significance to monitor blood glucose of newborns after birth regularly,detect and diagnose it early,and prevent and treat complications such as NH and hypoglycemic brain injury.
万方数据
维普
