Management of Small- or Large-for Gestational Age Infants on the Postnatal Ward
|Reviewed by Jane Harding
also Guideline on Management of Hypoglycaemia
This guideline refers to term
or near-term babies who are:
These babies are at risk of:
- jaundice secondary to
- Temperature should be
monitored before feeds for 12 hours or until stable
- Baby should be closely
observed for signs of hypoglycaemia or hypothermia (e.g jitteriness, pallor,
- Routine blood glucose
measurement should have been requested by the LMC or Paediatrician
within the first hour following birth and 4-hourly or pre-feed thereafter
(whichever comes first).
- All blood glucose measurements should be
performed by the Laboratory.
- That is, bedside testing methods
(BM-stix, Precision-G monitors) are not reliable at detecting hypoglycaemia.
- Feeding should be commenced
early; first feed within one hour of delivery and thereafter at least 3
- Either breast or formula
feeds (maternal preference) can be given.
- Complement feeds are not necessary
unless the babies blood glucose falls to <2.6mmol/L.
- The baby should be watched
for jaundice and bilirubin levels measured as indicated.