Page 313 - Abstract Book KONIKA 18

Neonatology

P-NEO-050
Late Preterm Baby with Persistent Hypoglycemia: A Case Report

Rahmah Wartania Putri, Andreas Budi Wijaya, Ruth Angelina Siregar, Ari Yunanto,
Pudji Andayani, Pricilia Gunawan Halim
Department of Neonatology, Faculty of Medicine Universitas Lambung Mangkurat/Ulin General Hospital,
Banjarmasin, South Borneo, Indonesia
Abstract
Background Hypoglycemia occurs commonly among neonates, and treatment can be challenging beyond
the first days of life. Persistent hypoglycemia in neonate is risk factor for impairment during brain
development process. Objective To report a case of persistent neonatal hypoglycemia, clinical manifestation,
and management of persistent neonatal hypoglycemia. Case A 34-weeks-baby, weight 1315 grams, was
born caesarean section from 30 years old mother due to breech presentation, severe preeclampsia with
HELLP syndrome. The Apgar score was 2-5-6. No history of diabetes mellitus in the family. Mother had
hypoglycemia during pregnancy. The sign of neonatal hypoglycemia may be asymptomatic. Baby got seizure,
pale, respiratory distress, and history of bloody residue. Physical examination was normal. Laboratory
examination showed Hb 15.1 gr/dL, WBC 16.400/cmm, platelet was 148.000/cmm, blood glucose 7 mg/
dl. Baby had episode of recurrent hypoglycemia. During hypoglycemia, we got result as follow insulin was
normal. Clinical laboratory pictures resolved by 3 weeks of hospitalization. Head ultrasonography revealed
periventricular leukomalacia grade I. Treatment of hypoglycemic neonates may begin while investigation
continue. Baby got therapy IVFD Dextrose with maintain glucose infusion rate 12-15 mg/kg/minute,
hydrocortisone, octreotide, somatostatin, and nifedipine per-oral. Bolus 2 cc/kg body weight of D10% if
the blood sugar was low. Hypoglycemia improved after treatment. Conclusion This case report exposes of
clinical presentation on persistent hypoglycemia in neonates and its diagnosis. Early diagnosis and aggressive
management in neonates can prevent impairment in brain development.
Keywords: preterm; hypoglycemia persistent; respiratory distress; dextrose

P-NEO-051
The Effect of COVID-19 Pandemic on gthe Incidence of Low Birth Weight
at Medika Dramaga Hospital

Raka Aditya Pradana
Medika Dramaga Hospital, Bogor, West Java, Indonesia
Abstract
Background Coronavirus Disease 2019 (COVID-19) is the first global pandemic since the Spanish flu
pandemic in 1918. The socio-economic crisis due to the COVID-19 pandemic is suspected to increase
the incidence of low birth weight (LBW). Interestingly, several studies in Europe show the opposite. The
incidence of low birth weight decreased whe n the policy of limiting physical interaction was implemented
to slow the spread of the COVID-19 virus. Objective To determine the effect of the COVID-19 pandemic
on the incidence of low birth weight. Methods This is a cross-sectional study. The data were collected
from the medical records of Medika Dramaga Hospital. All singleton live birth infants from March 2019 to
February 2020 (pre pandemic period) and March 2020 to February 2021 (pandemic period) were included in
the study. Positive mother for SARS-CoV-2 virus at time of delivery, multiple pregnancies and infants with
major congenital malformations, genetic syndromes or congenital infections were excluded. The analysis
using Chi-square test. Results The subjects studied during the pre pandemic period were 1150 infants with
142 LBW and during the pandemic period there were 837 infants with 70 LBW. There was a significant
difference in the incidence of LBW before and during the COVID-19 pandemic (P<0.001). Fewer infants
born with LBW during the pandemic. Conclusion There was a significant decrease in the incidence of LBW
infants during the COVID-19 pandemic.
Keywords: low birth weight; COVID-19

KONIKA XVIII Abstract Book 265