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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
Contact:
Health Science Campus
Kornhauser Library, Rm 204
502-852-8534

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