Literature DB >> 26644391

Supporting 'Baby Friendly': a quality improvement initiative for the management of transitional neonatal hypoglycaemia.

Claire Elizabeth Stewart1, Emma Louise Maitland Sage1, Peter Reynolds1.   

Abstract

We describe a quality improvement initiative conducted in a medium-sized district general hospital with a neonatal intensive care unit, which involved working with the multidisciplinary team to create a 'Baby Friendly' neonatal hypoglycaemia pathway with implementation of dextrose gel as a first-line treatment. As a result of the project, formula supplementation rates and admissions for transitional hypoglycaemia were reduced and breastfeeding rates at 3 months improved. This initiative demonstrates that evidence-based guidelines with multidisciplinary team input can improve standards of care. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Entities:  

Keywords:  Audit; Evidence Based Medicine; Infant Feeding; Neonatology

Mesh:

Substances:

Year:  2015        PMID: 26644391     DOI: 10.1136/archdischild-2015-308950

Source DB:  PubMed          Journal:  Arch Dis Child Fetal Neonatal Ed        ISSN: 1359-2998            Impact factor:   5.747


  9 in total

1.  The effectiveness of oral dextrose gel for the treatment of neonatal hypoglycaemia remains unclear.

Authors:  Praveen Chandrasekharan; Satyan Lakshminrusimha
Journal:  Evid Based Nurs       Date:  2017-06-10

2.  Single dose of prophylactic oral dextrose gel reduces neonatal hypoglycaemia.

Authors:  Praveen Chandrasekharan; Satyan Lakshminrusimha
Journal:  Evid Based Med       Date:  2017-01-25

3.  Dextrose gels for neonatal transitional hypoglycemia: What are we giving our babies?

Authors:  Alfonso Solimano; Eddie Kwan; Horacio Osiovich; Roger Dyer; Rajavel Elango
Journal:  Paediatr Child Health       Date:  2019-02-05       Impact factor: 2.253

Review 4.  New approaches to management of neonatal hypoglycemia.

Authors:  Paul J Rozance; William W Hay
Journal:  Matern Health Neonatol Perinatol       Date:  2016-05-10

5.  Oral Dextrose Gel Reduces the Need for Intravenous Dextrose Therapy in Neonatal Hypoglycemia.

Authors:  Munmun Rawat; Praveen Chandrasekharan; Stephen Turkovich; Nancy Barclay; Katherine Perry; Eileen Schroeder; Lisa Testa; Satyan Lakshminrusimha
Journal:  Biomed Hub       Date:  2016-09-10

6.  Glucose Gel as a Potential Alternative Treatment to Infant Formula for Neonatal Hypoglycaemia in Australia.

Authors:  Raenee L Barber; Amy E Ekin; Pushparani Sivakumar; Kay Howard; Therese A O'Sullivan
Journal:  Int J Environ Res Public Health       Date:  2018-04-27       Impact factor: 3.390

Review 7.  Clinical Aspects of Neonatal Hypoglycemia: A Mini Review.

Authors:  Taygen Edwards; Jane E Harding
Journal:  Front Pediatr       Date:  2021-01-08       Impact factor: 3.418

8.  Management of asymptomatic hypoglycemia with 40% oral dextrose gel in near term at-risk infants to reduce intensive care need and promote breastfeeding.

Authors:  Fabio Meneghin; Martina Manzalini; Miriam Acunzo; Irene Daniele; Petrina Bastrenta; Francesca Castoldi; Francesco Cavigioli; Gian Vincenzo Zuccotti; Gianluca Lista
Journal:  Ital J Pediatr       Date:  2021-10-09       Impact factor: 2.638

Review 9.  Scoping review of evidence for managing postnatal hypoglycaemia.

Authors:  Jennifer Horwitz; Linda Mardiros; Ahmed Musa; Vivian A Welch; Amanda Hodgson; Michael Narvey; Andrea Ghazzawi; Beverley Shea; Michael Saginur
Journal:  BMJ Open       Date:  2022-02-08       Impact factor: 2.692

  9 in total

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