Introduction:
There is limted consensus regarding screening newborns at risk of hypoglycemia, it is dangerous and can cause long-term neuro-developmental impairment.
Aim:
To review the compliance of the postnatal ward with the local guideline.
Methods:
A retrospective study.
Inclusion criteria: Babies born in OLOL hospital, who were at risk of hypoglycemia, and were transferred to postnatal ward after delivery. January 2018.
Results:
total number of babies born in January 2018, and transferred to postnatal ward after birth 250.
Total number of babies included in the audit: 55(22%).
Total number of babies admitted to NICU with hypoglycemia: 2(3.6%).
Discussion:
Compliance with the guideline was achieved.
Babies of diabetic mothers and babies with maternal b-blochers use were monitored.
Babies <2.5Kg, >4.5Kg were monitored.
2nd centile or 98th centile for each gestation(BAPM centile table) and infants>42 weeks didn't have consistent monitoring that comply with the guideline.
Local centile charts recommend plotting all babies born between 37-42 completed at 40 weeks.
Recommendations:
All babies born between 37-42 weeks completed, with birth weight <2.6Kg or >4.2Kg, need glucose monitoring.re-education of the staff about the importance of screening infants with any risk factors for hypoglycemia
where possible, antenatal identification of infants at risk of hypoglycemia and education of parents and staff( GDM, B-blockers, and < 37 weeks).

Screening, Prevention, and management of Neonatal Hypoglycaemia at Postnatal ward