Glucose Haemostasis Among Premature New-borns
DOI:
https://doi.org/10.15218/crewh.2024.06Keywords:
Hypo and Hyperglycaemia, Gestational age, birthweight, Apgar scoresAbstract
Background: Neonatal blood glucose levels are affected by pregnancy outcomes. Preterm infants are more prone to hypo- and hyperglycemia compared to full-term new-borns. This study aims to explore the glucose levels and risk factors affecting glucose homeostasis among premature new-borns
Method: A descriptive cross-sectional study was conducted from January 1 to March 31, 2017, at the Maternity Teaching Hospital in Erbil city. A total of 139 preterm new-borns treated in the neonatal intensive care unit (NICU) were included. Information concerning premature newborns (24 hours old) and maternal were collected. The Statistical Package for Social Sciences software was used for data analysis.
Results: The highest percentage of maternal (61.9%) were in the group of 33 to 36 weeks of gestational age. Half of premature new-borns (52.5%) weighed between 1.5 to 2.49 kg, 80.6% had normal random blood glucose levels. The risk of hyperglycemia increased (OR = 1.05, 95% CI: 1-1.1) in infants born at a gestational age of 29 to 32 weeks. Birth weight decreased significantly by increase of blood sugar (OR = -0.168, 95% CI: -0.008-0.0). Apgar scores of 7-10/10 increased with higher random blood sugar levels.
Conclusion: The majority had normal blood glucose levels. Low gestational age and birth weight increases the risk of hyperglycaemia, due to physiological and metabolic factors. Apgar scores improved at ten minutes with increasing random blood sugar levels gestational age and birth weight.
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