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Kornhauser Health Sciences Library

Danyal Babar: The Case


The Case


Setting: Outpatient pediatric office

On day of life 3, Danyal Babar was brought to the pediatrician’s office for a weight check.

Newborn history:

Danyal was born at 38 weeks via spontaneous vaginal delivery. He is the second child of a married couple who emigrated from Pakistan to Louisville.

Birth weight was 3.8kg (91st percentile), length 48.2cm (25th percentile), and head circumference 33cm (25th percentile).

At 6 hours post birth Danyal was reported to be ‘jittery’ and a capillary heel prick blood test revealed a blood glucose reading of 32 mg/dL.

Breast-feeding was initiated and his capillary blood glucose was monitored over the next 48 hours.

His blood glucose levels stayed above 70, and mother and baby were discharged at 2 days post birth after the standard newborn screen was obtained.

Neonatal follow-up:

Vital signs were normal for age. He was mildly jaundiced over his head and chest.

 A transcutaneous bilirubin was 11 mg/dL.

Mom reported continued poor feeding with struggling to latch and only staying on the breast for a few minutes each feed. Her milk has come in and she was pumping the remainder of milk produced. His weight was 3.5 kg, and he was having 4-5 small seedy stools daily. A blood glucose was rechecked and was 77 mg/dL. Mom was advised to continue to offer breast milk feeds on demand and follow up the next day.

Clinical Librarian

Ansley Stuart's picture
Ansley Stuart
Health Science Campus
Kornhauser Library, Rm 204

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