Neonatal hypoglycemia often requires intensive care, resulting in mother infant separation, decreased breastfeeding and associated consequences. Frequent hypoglycemia admissions to the Newborn Critical Care Center at the University of North Carolina Children's Hospital often did not require IV dextrose, and therefore unnecessarily separated the mother/infant dyad.
A hypoglycemia bundle that placed greater emphasis on early feeding and universal skin to skin care for infants at risk for hypoglycemia was implemented as these measures may prevent hypoglycemia. The bundle also included protocol revision. The aim was to decrease intensive care admission for asymptomatic hypoglycemia.
NICU admissions for asymptomatic hypoglycemia decreased by 10%, process measures of skin to skin care and early breastfeeding improved. Infants admitted to intensive care that did not receive IV dextrose decreased from 10 infants to 1 between the control group and post-intervention groups. There were no negative outcomes.
Learning Objectives:
Objective 1: Frequent formula and bottle use in NICU
Objective 2: Lack of prophylactic measures to prevent hypoglycemia
Objective 3: Improvement in process measures of skin-to-skin and early feeding
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