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Pediatr Clin North Am. 2001 Apr;48(2):377-87.

Hypoglycemia and the breastfed neonate.

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Department of Neonatology, Shaare Zedek Medical Center, Hebrew University School of Medicine, Jerusalem, Israel.


Healthy, full-term infants are functionally and metabolically programmed to make the transition from their intrauterine dependent environment to their extrauterine existence without the need for metabolic monitoring or interference with the natural breastfeeding process. Full-term infants are equipped with homeostatic mechanisms that preserve adequate energy substrate to the brain and other vital organs. Thermal stability and early, properly guided, frequent, exclusive breastfeeding are the keys to success. Thus, routine screening for blood glucose concentrations or feeding sugar water is not necessary and potentially counterproductive to the establishment of a healthy mother-infant dyad.

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