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The Baby Friendly Initiative has today published a new guidance document for maternity units who are developing or amending polices which relate to the prevention and treatment of hypoglycaemia in newborns.

Most maternity units working towards Baby Friendly accreditation have found that it is necessary to address the issue of supplementation for breastfed babies at risk of hypoglycaemia. The challenge of developing clear and unambiguous guidelines which ensure the safety of infants at risk of hypoglycaemia whilst at the same time, avoid the unnecessary use of supplements has proven to be very difficult in many units.

Nancy E. Wight
Breastfeeding Medicine. 2006, 1(4): 253-262.

Abstract

Healthy, full-term infants are programmed to make the transition from their intrauterine constant flow of nutrients to their extrauterine intermittent nutrient intake without the need for metabolic monitoring or interference with the natural breastfeeding process. Homeostatic mechanisms ensure adequate energy substrate is provided to the brain and other organs, even when feedings are delayed. The normal pattern of early, frequent, and exclusive breastfeeding meets the needs of healthy full-term infants. Routine screening or supplementation are not necessary and may harm the normal establishment of breastfeeding. Screening should be restricted to at-risk and symptomatic infants. Symptomatic infants need immediate assessment and intravenous glucose therapy, not forced feedings.

Forrás

NANCY WIGHT, KATHLEEN A. MARINELLI, AND THE ACADEMY OF BREASTFEEDING MEDICINE PROTOCOL COMMITTEE

BREASTFEEDING MEDICINE Volume 1, Number 3, 2006

BACKGROUND

Physiology
The term hypoglycemia refers to a low blood glucose concentration. Transient hypoglycemia in the immediate newborn period is common, occurring in almost all mammals. In healthy,normal term human infants, even if early enteral feeding is withheld, this phenomenon is selflimited, as glucose levels spontaneously rise within 2 to 3 hours.