TABLE 2

Survey Results (n = 84)

n (%)
1. Approximately how many deliveries does your hospital have each year?
 <10006 (7)
 1000–199917 (20)
 2000–399935 (42)
 4000–599916 (19)
 6000–99998 (10)
 >10 0002 (2)
2. What level of nurseries do you have at your hospital (select all that apply)?
 Level 174 (88)
 Level 246 (55)
 Level 365 (77)
3. Which of the following services provide care for well newborns at your institution (select all that apply)?
 Family practice36 (43)
 Pediatricians82 (98)
 Neonatology24 (29)
4. Does your institution have an existing hypoglycemia guideline or protocol in the well-baby nursery or postpartum unit?
 Yes84 (100)
 No0 (0)
5. How do you define hypoglycemia for infants aged <24 h?
 <4019 (23)
 <4520 (24)
 <25 (0–4 h); <35 (4–24 h)7 (8)
 <40 (0–4 h); <45 (4–24 h)23 (27)
 Other15 (18)
6. How do you define hypoglycemia for infants aged >24 h?
 <4012 (14)
 <4538 (45)
 <5016 (19)
 Other18 (21)
7. What asymptomatic infants require routine hypoglycemia screening at your institution (select all that apply)?
 SGA82 (98)
 Late preterm81 (96)
 IDM84 (100)
 LGA82 (98)
 IUGR31 (37)
 Infants with poor feeding or feeding gap more than a specified length of time21 (25)
 Other29 (35)
8. How do you define SGA?
 <2500 g13 (16)
 Use Fenton growth chart46 (57)
 Use Olsen growth chart10 (12)
 Use WHO growth chart9 (11)
9. How do you define LGA?
 >4000 g14 (17)
 Use Fenton growth chart45 (56)
 Use Olsen growth chart9 (11)
 Use WHO growth chart9 (11)
10. For those infants that meet your institution’s criteria for screening, when is the first glucose check done?
 <1 h15 (18)
 1–2 h25 (30)
 30 min after first feed40 (48)
 Other4 (5)
11. What is the minimum number of glucose checks done in an asymptomatic infant at risk for hypoglycemia?
 12 (2)
 23 (4)
 325 (30)
 4–829 (35)
 Depends on risk category23 (27)
 Other2 (2)
12. When are subsequent glucoses checked in asymptomatic infants at risk for hypoglycemia if >1 is required in the protocol?
 Before feeding70 (83)
 After feeding0 (0)
 Varies6 (7)
 Other8 (10)
13. What is the glucose threshold level for which treatment is recommended?
 <4015 (18)
 <4516 (19)
 <25 (0–4 h); <35 (4–24 h)13 (15)
 <40 (0–4 h); <45 (4–24 h)17 (20)
 Depends on risk category3 (4)
 Other20 (24)
14. When do you confirm POCT with serum glucose at your institution (select all that apply)?
 Always4 (5)
 Never26 (31)
 Before initiating therapy9 (11)
 Other45 (54)
15. Considering all levels of hypoglycemia, what are the possible treatment strategies used at your institution (select all that apply)?
 Breastfeeding83 (99)
 Expressed breast milk83 (99)
 Formula53 (63)
 IVF72 (86)
 Dextrose gel47 (56)
 Glucose water (Sweet-Ease)0 (0)
 Donor human milk7 (8)
16. What are the criteria for NICU admission for hypoglycemia (select all that apply)?
 Needing IVF44 (52)
 Glucose level below threshold31 (37)
 Glucose level below threshold despite first-line treatments41 (49)
17. Does your institution practice DCC?
 No0 (0)
 Yes79 (94)
 30 s17 (22)
 31–60 s33 (43)
 61–120 s22 (29)
 >120 s4 (5)
 Unsure5 (6)
18. Does your institution practice early skin-to-skin contact in the delivery room?
 No1 (1)
 Yes, only for vaginal deliveries22 (26)
 Yes, for all deliveries61 (73)
 <30 min3 (4)
 30–60 min32 (39)
 >60 min48 (58)
 Unsure0 (0)
19. Are the infants separated from mother after birth during the newborn admission process before the glucose checks (bathing, vitamin K or Hepatitis B vaccine, etc)?
 No77 (92)
 Unsure5 (6)
 Yes, <30 min2 (0)
 Yes, ≥30 min but <60 min0
20. Is your institution a Baby-Friendly designated hospital?
 Unsure0 (0)
 Yes45 (54)
 No, but follow ≥5 of the WHO’s Ten Steps to Successful Breastfeeding25 (30)
21. What percentage of infants initiate breastfeeding in your institution?
 <25%0 (0)
 25%–50%3 (4)
 51%–75%18 (21)
 >75%56 (67)
 Unsure7 (8)
22. What percentage of infants are exclusively breastfed or breast milk fed during the initial birth hospitalization in your institution (never received any type of milk other than breast milk)?
 <25%4 (5)
 25%–40%10 (12)
 41%–60%25 (30)
 61%–80%28 (33)
 >80%8 (10)
 Unsure9 (11)
  • IUGR, intrauterine growth restriction; IVF, intravenous fluids.