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- W2334365288 abstract "A 3,260-g, 38 weeks' gestation, appropriate-for-gestational age male infant is delivered to a mother whose pregnancy was complicated by gestational diabetes for which she took glyburide. Group B streptococcal cervical culture was negative. Oxytocin was started because of ineffective labor. A cesarean section was performed because the fetus became intolerant of labor. Apgar scores were 8 and 9 at 1 and 5 minutes, respectively. The physical examination yielded normal results, and the baby was sent to room-in with his mother.During the first 24 hours after birth, the infant's glucose was measured by point-of-care strip five times, with results ranging from 45 to 66 mg/dL (2.5 to 3.7 mmol/L). The mother repeatedly complained to the nurses that the infant was sleepy at the breast and not nursing. A lactation specialist worked with the mother, but the baby still did not nurse. The mother requested formula, and the infant took four feedings of 35 to 66 mL during this first 24-hour period. The infant voided one time but did not stool. His weight loss at approximately 24 hours was 7.8%. This weight loss was neither brought to the physician's attention nor addressed by the physician on morning rounds.During the next 24-hour period, the infant continued to be sleepy at the breast and did not latch, according to the mother. The nurses wrote in their notes the duration of time that the baby was “placed at the breast,” but other details such as latching and audible swallow were absent. The mother fed the infant formula twice (40 mL and 60 mL) during this period. He voided three times but did not stool.At 52 hours of age, the infant had lost 10.4% of his weight since birth. The nurse informed the mother of this weight loss. The mother attempted feeding, but …" @default.
- W2334365288 created "2016-06-24" @default.
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- W2334365288 date "2011-03-01" @default.
- W2334365288 modified "2023-10-17" @default.
- W2334365288 title "Legal Briefs" @default.
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- W2334365288 doi "https://doi.org/10.1542/neo.12-3-e170" @default.
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