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Background <p>Neonatal hypoglycemia can impair neurodevelopment. Timely glucose screening, aligned with AAP guidelines, may enable prompt detection of hypoglycemia.</p> Methods <p>This initiative, conducted from November 2021 to April 2023, aimed to improve the timing of screening without negatively impacting breastfeeding. Key drivers included timely recognition of at-risk status and improved adherence to the institutional protocol.</p> Results <p>Overall, 823 infants were screened. Mean age at initial glucose screening decreased by 37%, from 175 to 111 min (<i>p</i> &lt; 0.001). Median (IQR) age at hypoglycemia detection reduced from 133 (107–180) to 101 (81–118) minutes (<i>p</i> &lt; 0.001). Late-detected hypoglycemia episodes (detected &gt;2 h of age) among affected infants decreased from 30 to 0% (<i>p</i> = 0.06). Exclusive breastfeeding and NICU transfer rates for hypoglycemia remained stable.</p> Conclusions <p>Early recognition of risk factors, staff education, and improved team handoffs can improve timing of initial hypoglycemia screening without impacting breastfeeding or increasing maternal-infant separation.</p>

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Improving timing of early neonatal hypoglycemia screening in the well-baby nursery

  • 期刊论文

  • 发表日期：

    2025年10月31日

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  • Kelechi Ikeri,
  • Vicki Curtis,
  • Anna Bozeman,
  • Teneshia Edwards,
  • Manimaran Ramani,
  • Michael Zayek

摘要

Background

Neonatal hypoglycemia can impair neurodevelopment. Timely glucose screening, aligned with AAP guidelines, may enable prompt detection of hypoglycemia.

Methods

This initiative, conducted from November 2021 to April 2023, aimed to improve the timing of screening without negatively impacting breastfeeding. Key drivers included timely recognition of at-risk status and improved adherence to the institutional protocol.

Results

Overall, 823 infants were screened. Mean age at initial glucose screening decreased by 37%, from 175 to 111 min (p < 0.001). Median (IQR) age at hypoglycemia detection reduced from 133 (107–180) to 101 (81–118) minutes (p < 0.001). Late-detected hypoglycemia episodes (detected >2 h of age) among affected infants decreased from 30 to 0% (p = 0.06). Exclusive breastfeeding and NICU transfer rates for hypoglycemia remained stable.

Conclusions

Early recognition of risk factors, staff education, and improved team handoffs can improve timing of initial hypoglycemia screening without impacting breastfeeding or increasing maternal-infant separation.