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] >>********************************************************************** > > > > %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% > %% "We are all faced with a series of great %% > %% opportunities brilliantly disguised as %% > %% impossible situations" - definition of a %% > %% lactation consulting service. %% > %% Kathleen G. Auerbach, PhD, IBCLC %% > %% Homewood, Illinois USA %% > %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% > > > ********************************************************** Kathleen B. Bruce RN, BSN, IBCLC Williston, Vermont USA [log in to unmask] Being Human is a task, not a fact..... **********************************************************************