Guest shiwenxia Posted February 26, 2007 Share Posted February 26, 2007 Here is a question to everyone , in china there is a habit in clinics, when we prepare to feed a pretern infant first time, we usually use 5% glucose 2 times before milk, how do you think about it? is there any evidence? thank you ! Link to comment Share on other sites More sharing options...
Guest Posted February 28, 2007 Share Posted February 28, 2007 Hmm, interesting but Why? Link to comment Share on other sites More sharing options...
Guest shiwenxia Posted March 2, 2007 Share Posted March 2, 2007 hi ,holiesmama: this is traditional method, the teacher's simple explanation is to prevent GER, but i did't find any evidence about it, you know,it is an evidence medicine era. Link to comment Share on other sites More sharing options...
Guest mbayari Posted March 8, 2007 Share Posted March 8, 2007 Hi dear Almost Moroccan pediatricians have the same habit but not the same goal: they try to prevent early hypoglycemia. To my knowledge, there is no study confirming the benefits of such an attitude. Several authors demonstrated that giving 5% or 10% dextrose is accompanied by a delayed normal increasing glycemia (which happens 1-1,5h after birth). Early hypoglucemia is actually known to be transient and warrant no special managment. Link to comment Share on other sites More sharing options...
Alexander Rakow Posted March 16, 2007 Share Posted March 16, 2007 I fully agree, as long as there are no speciell risk factors there is no need for administration of dextrose. As you mentioned, early hypoglycemia is transient and fysiological. In preterm , SGA or infants born to mothers with diabetes we usally try to prevent hypoglycemia by early feedings. Link to comment Share on other sites More sharing options...
alaiyan Posted April 4, 2007 Share Posted April 4, 2007 It is an old practice and not based on any evidence. Some pediatricians believe that in case of aspiration glucose has less damage to lungs, but in fact is not and this is based on a study that showed there was no difference in affecting lungs between milk and glucose. So I usually start babies on milk and I found no problems. Some of our pediatric surgeons like to start with glucose in post OP babies but again this is not based on any evidence. Link to comment Share on other sites More sharing options...
hehady Posted April 5, 2007 Share Posted April 5, 2007 Breast feeding is the best for initial feedings (evidence based). Oral glucose increases feeding intolerance and aspiration (personal experience) Link to comment Share on other sites More sharing options...
Guest lbgorstj Posted June 13, 2007 Share Posted June 13, 2007 I agree that it isnt any need to do that if the child dont need it. In preterm , SGA or infants born to mothers with diabetes we usally try to prevent hypoglycemia by early feedings.If we can we use BM, we use glucose when we do practical procedures as blood sampling. Link to comment Share on other sites More sharing options...
Guest drhassan.nimer@gmail.com Posted June 13, 2007 Share Posted June 13, 2007 Dear colleague, 5% glucose or destilated water 1-2 cc may show the easy process of swelling,with less stepen of aspiration if it is possible and less causes GER. There for no risk factors to give a small amount of water or glucose, oespecially if immideately followed by milk Thanks Link to comment Share on other sites More sharing options...
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