---------- Forwarded message ---------- Date: Fri, 21 Apr 1995 15:15:56 -0700 (PDT) From: Elizabeth Williams <[log in to unmask]> To: [log in to unmask] Cc: [log in to unmask] Subject: Returned mail: User unknown (fwd) Kathleen, why isn't this deliverable? Thanks for your help. --Beth Williams ---------- Forwarded message ---------- Date: Fri, 21 Apr 95 17:58:49 -0400 From: Mail Delivery Subsystem <[log in to unmask]> To: [log in to unmask], [log in to unmask] Subject: Returned mail: User unknown ----- Transcript of session follows ----- >>> RCPT To:<LACTNETt@library> <<< 550 <LACTNETt@library>... User unknown 550 <[log in to unmask]>... User unknown ----- Unsent message follows ----- Return-Path: <[log in to unmask]> Received: from scrdp.Stanford.EDU by umassmed.UMMED.EDU (5.61/HCX-2.2) (for @library.ummed.edu:LACTNETt@library ) id AA27356; Fri, 21 Apr 95 17:58:49 -0400 Received: from scrdp.Stanford.EDU ([log in to unmask] [171.65.48.3]) by scrdp.Stanford.EDU (8.6.10/8.6.10) with SMTP id OAA06388 for <[log in to unmask]>; Fri, 21 Apr 1995 14:58:45 -0700 Date: Fri, 21 Apr 1995 14:58:44 -0700 (PDT) From: Elizabeth Williams <[log in to unmask]> To: [log in to unmask] Subject: hypoglycemia (fwd) Message-Id: <[log in to unmask]> Mime-Version: 1.0 Content-Type: TEXT/PLAIN; charset=US-ASCII ---------- Forwarded message ---------- 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]