Objectives: To detect the incidence of hypoglycaemia in Small for gestateonal age (SGA) neonates. Design: Hospital based prospective study in a maternitycentre in south India. Inclusion criteria: all inborn SGA neonates without major congenital anomalies. Sampling: three hundred SGA neonates were enrolled inthe study from 1 August 2008 to 1 November 2009. ntervention/Measurement: Random blood glucose levelswere estimated by the standard glucose oxidase peroxidase method at 1,6,12,24 and 48 hours of life during the first 2 days of life. Results: The incidence of neonatal hypoglycaemia in SGA newborns in thepre-sent study group was 28%. Out of 28%,20% were asylumptomatic.during 48 hours of monitoring 70% of hypoglycaemia events occurred in first 24 hours. Conclusions: hypoglycemia incidence is very high in SGA neonates particularly asymptomatic type. So needs serial monitoring in first 48 hours. 

Keywords: Neonate; Hypoglycemia; SGA; Asymptomatic.