ArticleTropical medicine and health2020
Prevalence and factors associated with neonatal hypoglycemia in Northern Uganda: a community-based cross-sectional study.
Article in Tropical medicine and health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed, 19 citations in OpenAlex.
- Article
- Incidence and Determinants of Newborn Hypoglycemia Among Neonates Hospitalized in Public Hospitals of Wolaita Zone, Southern Ethiopia: A Multicentered Prospective Follow-Up Study.International journal of pediatrics · 2026Article
- Frequency of Asymptomatic Hypoglycemia in Full-Term Neonates Within the First Hour of Life.Cureus · 2025Article
- Incidence and risk factors of neonatal hypoglycemia at Hawassa University Comprehensive Specialized Hospital.PloS one · 2025Article
- Neonatal hypoglycaemia.BMJ medicine · 2024Review
- Article
- Incidence of prolonged transitional neonatal hypoglycemia and associated factors among neonatal admissions in South Gondar public hospitals, North-Central Ethiopia: a prospective cross-sectional study.Frontiers in pediatrics · 2024Article
- Determinants of neonatal hypoglycemia among neonates admitted to neonatal intensive care units of public hospitals in Wolaita Zone, Southern Ethiopia, 2023: An unmatched case-control study.Frontiers in pediatrics · 2024Article
- What are the barriers preventing the screening and management of neonatal hypoglycaemia in low-resource settings, and how can they be overcome?Maternal health, neonatology and perinatology · 2023Review
- Maximizing the detection rate of hypoglycemia among preterm neonates admitted in Neonatal intensive care unit in Ethiopia, 2021.Scientific reports · 2023Article
- Determinants of neonatal hypoglycemia among neonates admitted at Hiwot Fana Comprehensive Specialized University Hospital, Eastern Ethiopia: A retrospective cross-sectional study.SAGE open medicine · 2022Article
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Authors and funding
11 authors at 5 institutions in 2 countries.
Funding
Abstract
backgroundNeonatal hypoglycemia is the most common endocrine abnormality in children, which is associated with increased morbidity and mortality. The burden and risk factors of neonatal hypoglycemia in rural communities in sub-Saharan Africa are unknown.
objectiveTo determine the prevalence and risk factors for neonatal hypoglycemia in Lira District, Northern Uganda.
methodsThis was a community-based cross-sectional study, nested in a cluster randomized controlled trial designed to promote health facility births and newborn care practices in Lira District, Northern Uganda. This study recruited neonates born to mothers in the parent study. Random blood glucose was measured using an On Call® Plus glucometer (ACON Laboratories, Inc., 10125 Mesa Road, San Diego, CA, USA). We defined hypoglycemia as a blood glucose of < 47 mg/dl. To determine the factors associated with neonatal hypoglycemia, a multivariable linear regression mixed-effects model was used.
resultsWe examined 1416 participants of mean age 3.1 days (standard deviation (SD) 2.1) and mean weight of 3.2 kg (SD 0.5). The mean neonatal blood glucose level was 81.6 mg/dl (SD 16.8). The prevalence of a blood glucose concentration of < 47 mg/dl was 2.2% (31/1416): 95% CI 1.2%, 3.9%. The risk factors for neonatal hypoglycemia were delayed breastfeeding initiation [adjusted mean difference, - 2.6; 95% CI, - 4.4, - 0.79] and child age of 3 days or less [adjusted mean, - 12.2; 95% CI, - 14.0, - 10.4].
conclusionThe incidence of neonatal hypoglycemia was low in this community and was predicted by delay in initiating breastfeeding and a child age of 3 days or less. We therefore suggest targeted screening and management of neonatal hypoglycemia among neonates before 3 days of age and those who are delayed in the onset of breastfeeding.
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