{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T12:14:28Z","timestamp":1777464868345,"version":"3.51.4"},"reference-count":9,"publisher":"S. Karger AG","issue":"3","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neonatology"],"published-print":{"date-parts":[[2019]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Background:&lt;\/i&gt;&lt;\/b&gt; Feeding is often used for the initial treatment of hypoglycaemia, but it is not known if pre-feed alertness and observed quality of breastfeeding are related to the subsequent change in blood glucose concentration. &lt;b&gt;&lt;i&gt;Objective:&lt;\/i&gt;&lt;\/b&gt; We sought to determine if assessment of pre-feed alertness and the observed quality of the breastfeed were related to the subsequent change in blood glucose concentration in hypoglycaemic babies. &lt;b&gt;&lt;i&gt;Methods:&lt;\/i&gt;&lt;\/b&gt; Babies were \u226535 weeks, \u226448 h old, identified as being at-risk for hypoglycaemia (infants of diabetic mothers, small [&amp;#x3c; 2,500 g or &amp;#x3c; 10th centile] or large [birthweight &amp;#x3e; 4,500 g or &amp;#x3e; 90th centile] birthweight) and hypoglycaemic (&amp;#x3c; 2.6 mM). Midwives assessed pre-feed alertness and quality of feeding at each hypoglycaemic episode. Change in blood glucose concentration was assessed within 15\u201390 min. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; One hundred and thirty-one babies had 163 hypoglycaemic episodes. Babies assessed as alert had a greater increase in blood glucose concentration than sleepy babies (mean [95% CI] awake 0.71 [0.61\u20130.82] vs. sleepy 0.51 [0.35\u20130.66] mM, &lt;i&gt;p&lt;\/i&gt; = 0.04). The change in blood glucose concentration was similar after feeds of different observed quality (offered, 0.50 [0.29\u20130.72], latched, 0.66 [0.52\u20130.81], swallowing 0.65 [0.54\u20130.76] mM, &lt;i&gt;p&lt;\/i&gt; = 0.13). &lt;b&gt;&lt;i&gt;Conclusions:&lt;\/i&gt;&lt;\/b&gt; Observed quality of breastfeeding is not a useful predictor of the change in blood glucose concentration in hypoglycaemic babies.<\/jats:p>","DOI":"10.1159\/000494998","type":"journal-article","created":{"date-parts":[[2019,1,22]],"date-time":"2019-01-22T22:08:50Z","timestamp":1548194930000},"page":"234-238","source":"Crossref","is-referenced-by-count":5,"title":["Does a Good Quality Breastfeed Improve the Blood Glucose Concentration in Hypoglycaemic Babies?"],"prefix":"10.1159","volume":"115","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2498-9223","authenticated-orcid":false,"given":"Deborah\u00a0L.","family":"Harris","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip\u00a0J.","family":"Weston","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2697-1422","authenticated-orcid":false,"given":"Jane\u00a0E.","family":"Harding","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2019,1,22]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-0079"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2015.03.057"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-3851"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1093\/pch\/9.10.723"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)01024-7"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6909.1994.tb01847.x"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/ S0140-6736(13)61645-1"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2017.06.034"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.earlhumdev.2010.05.005"}],"container-title":["Neonatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/494998","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/494998","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T17:09:56Z","timestamp":1745428196000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000494998"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019]]},"references-count":9,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019,4,26]]},"published-print":{"date-parts":[[2019,5,2]]}},"URL":"https:\/\/doi.org\/10.1159\/000494998","archive":["Portico"],"relation":{},"ISSN":["1661-7800","1661-7819"],"issn-type":[{"value":"1661-7800","type":"print"},{"value":"1661-7819","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019]]}}}