The neonate was subsequently placed on cardiorespiratory monitors until his next feed.
Due to recurrent desaturations with feeding however, a total of only 6 mL of formula was able to be provided. Per hospital protocol on the management of neonatal hypoglycemia, supplementation with formula was advised for the second occurrence of low glucose levels. The neonate was once again treated with oral dextrose gel, which again resulted in oxygen desaturation and CPAP resuscitation. Resuscitation with bulb suction and several minutes of continuous positive air pressure (CPAP) via facemask was required for recovery.Īt the following glucose check, another low value of 39 mg/dL was identified. Oxygen saturation values dropped to as low as 64% on room air. Within the following hour, an episode of mucoid emesis with apparent choking and dusky color change occurred. The asymptomatic hypoglycemia was treated with a dose of oral dextrose gel applied to the buccal mucosa. The neonate’s glucose level was checked within the first hour of life and was found to be low at 33 mg/dL. The neonate’s initial physical examination findings were within normal limits. The mother was treated empirically with ampicillin over the next 13 hours, and the delivery was uncomplicated, with Apgar scores of 7 at 1 minute and 9 at 5 minutes of life. Routine second-trimester ultrasonographic anatomy scan findings and serologic test results had been normal, although group B β-hemolytic streptococcus results were unknown due to spontaneous rupture of membranes and preterm labor. Prenatal care had been established in the first trimester, and the pregnancy had been uncomplicated. A boy was born via normal spontaneous vaginal delivery at 36 weeks and 1 day of gestation to a 20-year-old, gravida 1, para 1 woman.
0 kommentar(er)
