This message Dr. Williams had a hard time getting through for some reason .
If I already posted it, pardon me, but I wanted to make sure it was submitted.

Kathleen

The American Academy of Pediatrics' Committee on Fetus and Newborn issued
>>>a statement on Routine Evaluation of Blood Pressure, Hematocrit, and
>>>Glucose in Newborns in 1993, published in Pediatrics (92:474-476), which
>>>noted: "Even if a glucose level of 30 mg/dl is ued as a cutoff value for
>>>hypglycemia in full-term infants, the reported incidence of hypoglycemia
>>>varies from 0.4% to 11.4%%. Risk factors for the development of
>>>hypoglycemia have been described. However, in one study 72% of 232
>>>infants were found to have one or more of these risk factors. None of the
>>>infants w/out the risk factors had hypoglycemia (defined as a blood
>>>glucose value, measure by Dextrostix, of less than 40 mg/dL); of those
>>>with at least one risk factor, 28.6% had hypoglycemia."
>>>
>>>Of course, I doubt that any of the studies to date have assessed the
>>prevalence in a
>>>population where immediate breastfeeding is the norm.
>>>The point is well taken that "no study has shown that treatment of a
>>>transient low
>>>blood glucose level offers a better short-term or long-term outcome than
>>>the outcome resulting with not treatment."
>>>The Committee's recommendation was "universal neonatal screening for
>>>hypoglycemia is not warranted in most nurseries. Selective screening for
>>>high-risk babies ---may offer an advantage over universal screening;
>>>however, in those nurseries where a large proportion of infants fall into
>>>one of the high risk categories, it may be easier to screen all infants.
>>>The question of the appropriate age for selective screening still needs
>>>to be answered."
>>>Elizabeth Williams, MD, MPH
>>>Stanford Univ. School of Medicine
>>>[log in to unmask]
>>>
>>
>>**********************************************************
>>Kathleen B. Bruce RN, BSN, IBCLC
>>Williston, Vermont USA
>>[log in to unmask]
>>**********************************************************************
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**********************************************************
Kathleen B. Bruce RN, BSN, IBCLC
Williston, Vermont USA
[log in to unmask]
Being Human is a task, not a fact.....
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