{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T16:43:03Z","timestamp":1786725783646,"version":"build-2736575974"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Neonatal hypoglycemia has been a cause for concern due to increasingly frequent reports of long-term sequelae, leading to undue concern and inadvertent administration of formula feeds. Though hypoglycemia is usually encountered only in neonates with classical risk factors, hypoglycemia is also rarely seen even in babies with no known risk factors. These babies may present only with sequelae in later childhood.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      This is a hospital-based observational, prospective study. We included 299 exclusively breastfed neonates who were shifted to mother's side with no congenital malformation or need for neonatal intensive care unit (NICU) admission. The neonates were studied in two groups: \u201c At Risk\u201d and \u201cNo Risk.\u201d The \u201cAt Risk\u201d group included babies with known risk factors like low birth weight, late preterm (34\u201336 weeks), small for gestational age (birth weight &lt;10\n                      <jats:sup>th<\/jats:sup>\n                      centile), infant of a diabetic mother, or large for gestational age (birth weight &gt;90\n                      <jats:sup>th<\/jats:sup>\n                      centile). Hypoglycemia was the primary outcome measured independent of feeding time for both groups. For the \u201cAt Risk\u201d group, monitoring was done at 0, 1, 2, 3, 4, 12, 24 plus 48 h. For the \u201cNot At Risk\u201d group, it was done at 12 and 24 h of life. The factors associated with both groups were studies as the secondary outcome.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results and Conclusion:<\/jats:title>\n                    <jats:p>Out of 299 exclusively breastfed neonates, 13% were hypoglycemic. 27.06% were hypoglycemic in the \u201cAt Risk\u201d group. In the \u201cAt Risk\u201d group, low birth weight and primiparity were significant risk factors. The incidence of hypoglycemia in the \u201cNo Risk\u201d group was 1.80%. Breast problems and breastfeeding problems, low education status of mother, young age, and primiparity were significant risk factors in the \u201cNo Risk\u201d group.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_1692_22","type":"journal-article","created":{"date-parts":[[2023,11,20]],"date-time":"2023-11-20T05:01:16Z","timestamp":1700456476000},"page":"2835-2839","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Early neonatal hypoglycemia in exclusively breastfed babies in a developing country \u2013 India"],"prefix":"10.4103","volume":"12","author":[{"given":"Simran K.","family":"Gill","sequence":"first","affiliation":[{"name":"Department of Paediatrics, Bangalore Baptist Hospital, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel R.","family":"Peterson","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Bangalore Baptist Hospital, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joy H.","family":"Christ","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Bangalore Baptist Hospital, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolin E.","family":"George","sequence":"additional","affiliation":[{"name":"Community Medicine, Bangalore Baptist Hospital, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,11,21]]},"reference":[{"key":"R1-20260512","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/j.pcl.2012.09.010","article-title":"Breastfeeding and health outcomes for the mother-infant dyad","volume":"60","author":"Dieterich","year":"2013","journal-title":"Pediatr Clin North Am"},{"key":"R2-20260512","first-page":"41","article-title":"Weight loss percentage prediction of subsequent neonatal hyperbilirubinemia in exclusively breastfed neonates","volume":"53","author":"Chang","year":"2012","journal-title":"Pediatrneonatol"},{"key":"R3-20260512","doi-asserted-by":"crossref","first-page":"745","DOI":"10.29309\/TPMJ\/2014.21.04.2312","article-title":"Neonatal hypoglycemia; 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