Date of Award

Spring 4-13-2025

Document Type

Scholarly Project

Degree Name

Doctor of Nursing Practice (DNP)

First Advisor

David Liguori

Second Advisor

Maryleah Schultz Needels

Abstract

Practice Problem: Neonatal hypoglycemia has a profound impact on the diabetic maternal infant dyad and their families. The practice problem negatively affects the quality of care offered by healthcare providers, while also imposing a financial burden on the healthcare system that extends well beyond the perinatal period.

PICOT: In term infants born to diabetic mothers (P), does a regular carbohydrate-controlled diet given at least 8 hours prior to birth (I) in comparison to a clear liquid carbohydrate-controlled diet (C) reduce the incidence of neonatal hypoglycemia at two hours of life(O) across an 8-week period(T)?

Evidence: A medical nutrition diet, such as a regular carbohydrate-controlled diet, and is considered the first line treatment of diabetes during pregnancy.

Intervention: This project supported the implementation of regular carbohydrate-controlled diets for diabetic mothers during the labor process when clinically appropriate.

Outcome: Regular carbohydrate-controlled meal administration within 8 hours of delivery resulted in a 37% decrease in neonatal hypoglycemia when comparing these two diet options.

Conclusion: Any infant that develops neonatal hypoglycemia is at risk for associated negative sequalae that pose both short- and long-term risks. Making the nutritional needs of diabetic mother a priority had a considerable impact on decreasing neonatal hypoglycemia rates.

Comments

Scholarly project submitted to the University of St. Augustine for Health Sciences in partial fulfillment of the requirements for the degree of Doctor of Nursing Practice

Creative Commons License

Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.

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