Journal of Neonatal Research and Pediatric Care ISSN: 2691-5901
Research Article
Adherence to Clinical Guidelines and Hypoglycaemia Incidence in High-Risk Late Preterm and Term Infants: An Audit from a Regional Australian Hospital
Published: 2024-07-17

Abstract

Background: Neonatal hypoglycaemia is a known risk factor for poor neuro-developmental outcome. Adherence to – guidelines have shown to decrease the incidence of hypoglycaemia in high-risk infants. Methods: This retrospective observational study assessed adherence to clinical guidelines for hypoglycaemia screening in late preterm and term infants at Mildura Base Public Hospital. Result: Of the 602 deliveries, 101 infants were at risk, with 33 cases of hypoglycaemia detected among 83 eligible infants. Adherence to guidelines significantly reduced hypoglycaemia incidence by 84%. However, delays in initiating feeds and conducting blood glucose tests highlight areas for improvement. Conclusion: Our findings underscore the importance of guideline adherence and timely intervention in mitigating hypoglycaemia risk.

Keywords

Hypoglycaemia; Infants; Adherence; Protocol; Clinical Guidelines; Quality Improvement Project