Dear Lactnet Friends:

According to Protocol #1 from the Academy of Breastfeeding Medicine, these
babies should be monitored for hypoglycemia:

Table 3. At-Risk Infants for Whom Routine Monitoring of Blood Glucose Is
Indicated
Small for gestational age: <10th percentile for weight commonly cited in
the United States; <2nd percentile cited in the United Kingdom as above
this considered small normala
Babies with clinically evident wasting of fat and muscle bulk
LGA: >90th percentile for weight and macrosomic appearanceb
Discordant twin: weight 10%<larger twin
All infants of diabetic mothers, especially if poorly controlled
Low birth weight (<2,500 g)
Prematurity (<35 weeks, or late preterm infants with clinical signs or
extremely poor feeding)
Perinatal stress: severe acidosis or hypoxia-ischemia
Cold stress
Polycythemia (venous Hct>70%)/hyperviscosity
Erythroblastosis fetalis
Beckwith–Wiedemann's syndrome
Microphallus or midline defect
Suspected infection
Respiratory distress
Known or suspected inborn errors of metabolism or endocrine disorders
Maternal drug treatment (e.g., terbutaline, beta-blockers, oral
hypoglycemics)
Infants displaying signs associated with hypoglycemia
​
Babies have a normal drop in blood sugar after the cord is cut; by 2 hours
postpartum, the blood sugar has naturally risen.

Is that still true with the babies at risk? When should their blood sugar
start being monitored?

Thanks.

warmly,


Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI, ANLC, CKC
Author:* Complementary and Alternative Medicine in Breastfeeding Therapy*
www.nikkileehealth.com
https://www.facebook.com/nikkileehealth

*Get my FREE webinar series*

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