Message from Beth Williams, who had trouble sending this for some unknown
reason:

Date: Fri, 21 Apr 1995 14:55:48 -0700 (PDT)
>From: Elizabeth Williams <[log in to unmask]>
>To: [log in to unmask]
>Cc: [log in to unmask]
>Subject: hypoglycemia
>
>
>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
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Being Human is a task, not a fact.....
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