Oral dextrose gel for hypoglycemia in a well-baby nursery: a baby-friendly initiative

IF 2.4 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Perinatology Pub Date : 2024-09-14 DOI:10.1038/s41372-024-02114-y

Mansi Batra, Kelechi Ikeri, Michelle Blake, Genevieve Mantell, Ramachandra Bhat, Michael Zayek

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Abstract

Objectives

To assess the impact of oral dextrose gel (ODG) treatment on NICU admission rates for hypoglycemic infants in a well-baby nursery.

Study design

We retrospectively compared newborn infants at risk for hypoglycemia born during the intervention period (n = 3775) with historical controls (n = 655). We also compared the rates of the primary outcome (NICU admission) and secondary outcomes (exclusive breastfeeding and hospital costs) between the two periods.

Results

Following the implementation of ODG supplementation, the NICU admissions rates dropped from 4% to 2%, p < 0.05, for at-risk infants and from 15% to 7%, p < 0.05, for hypoglycemic infants in the baseline and intervention periods, respectively, with an adjusted OR (95% CI) of 0.39 (0.24–0.64), p < 0.001. Additionally, the ODG protocol sustained rates of exclusive breastfeeding in contrast to the institutional protocol.

Conclusion

The adoption of an ODG protocol fosters a more nurturing and baby-friendly environment through reduced NICU transfers, support for exclusive breastfeeding, and decreased hospital costs.

Abstract Image

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在婴儿护理室口服葡萄糖凝胶治疗低血糖：爱婴举措

目标评估口服葡萄糖凝胶（ODG）治疗对新生儿重症监护室（NICU）低血糖婴儿入院率的影响。研究设计我们对干预期间出生的低血糖风险新生儿（n = 3775）和历史对照组（n = 655）进行了回顾性比较。我们还比较了两个时期的主要结果（新生儿重症监护室入院率）和次要结果（纯母乳喂养率和住院费用）。在基线期和干预期，高危婴儿的入院率从 4% 降至 2%，p <0.05；低血糖婴儿的入院率从 15% 降至 7%，p <0.05，调整 OR (95% CI) 为 0.39 (0.24-0.64)，p <0.001。结论采用 ODG 方案可减少新生儿重症监护室的转院次数、支持纯母乳喂养并降低医院成本，从而营造一个更有教养、对婴儿更友好的环境。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Perinatology 医学-妇产科学

CiteScore

5.40

自引率

6.90%

发文量

284

审稿时长

3-8 weeks

期刊介绍： The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.