Neonatal Follow-up
NICU Follow Up and Neurodevelopmental 2: Neonatal Growth, Nutrition and the Brain
Manisha Singh, DO (she/her/hers)
NICU Fellow
Baylor Scott and White
Temple, Texas, United States
404 infants met inclusion criteria. Median birthweight was 2.76 kg (range, 1.52-4.79) and median gestational age was 36.2 weeks (range, 32.0-41.2) in the hypoglycemia group. Infants with hypoglycemia had longer length of stay (8 days vs. 6 days, p=0.06). Of those infants with hypoglycemia, 15% were small for gestational age and 31% born to mothers with diabetes during pregnancy. The median blood glucose at 12 hours of life was 29 mg/dl (range, 10-70) (p< 0.0001) and at 48 hrs. of life was 57 mg/dl vs 68 mg/dl (p< 0.0001) in the non-hypoglycemia group. In logistic regression, infants with hypoglycemia were more likely to be diagnosed with neurodevelopmental delays in childhood but were not statistically significant compared those without hypoglycemia.
Conclusion(s): Late preterm and term neonates diagnosed with neonatal hypoglycemia are at a higher risk of being diagnosed with a developmental delay 2-3 years of age compared to neonates without hypoglycemia.