Risk factors of neonatal hypoglycemia in Banda Aceh: A Retrospective Cross-Sectional Study

Aidil Fittriani Ayu* -  Departement of Pediatrics, Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia
Darnifayanti Darnifayanti -  Division of Neonatology, Department of Pediatrics, Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia
Mulya Safri -  Division of Allergy Imunology, Departement of Pediatrics, Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia
Sulaiman Yusuf -  Division of Gastroenterohepatologyi, Departement of Pediatrics, Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia
Syafruddin Haris -  Division of Nephrology, Departement of Pediatrics, Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia
T. M. Thaib -  Division of Growth and Development and Social Pediatric, Departement of Pediatrics, Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia
DOI : 10.30867/action.v11i2.2924

Hypoglycemia is the most common metabolic disorder in newborns during the first two days of life, with a global prevalence of 5-15% in at-risk populations. This condition can cause permanent neurological damage and intellectual disabilities. Objective: To analyze the risk factors of neonatal hypoglycemia at Dr. Zainoel Abidin Hospital, Banda Aceh. Methods: This retrospective cross-sectional study used medical records from January to December 2024. The key predictors included gestational age, birth weight, maternal diabetes mellitus, eclampsia, and delivery mode. All eligible records (n=448) were included. Data were analyzed using SPSS version 29 with the chi-square test and multiple logistic regression. Hypoglycemia (blood glucose <45 mg/dL within 24 h of birth) was found in 67 (15.0%) infants. Multivariate analysis identified cesarean section as the strongest independent predictor (AOR=3.850; p<0.001), followed by birth weight <2500 g (AOR=6.345; p=0.004), and prematurity <37 weeks (AOR=3.383; p=0.001). In conclusion, cesarean delivery, prematurity, and low birth weight were independent risk factors for neonatal hypoglycemia after multivariate adjustment.

Keywords : Neonatal hypoglycemia, low birth weight, cesarean section, prematurity, risk factors, maternal diabetes

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Open Access Copyright (c) 2026 Aidil Fittriani Ayu, Darnifayanti, Mulya Safri, Sulaiman Yusuf, Syafruddin Haris, T. M. Thaib
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AcTion: Aceh Nutrition Journal
Published by: Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health.
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