Open AccessLOW BIRTH WEIGHT BABIES;
Author(s) -
Kashif Abbas Zaidi,
Nighat Aijaz,
Nasrul Huda
Publication year - 2013
Publication title -
the professional medical journal/the professional medical journal
Language(s) - English
Resource type - Journals
eISSN - 2071-7733
pISSN - 1024-8919
DOI - 10.29309/tpmj/2013.20.02.633
Subject(s) - medicine , pediatrics , respiratory distress , low birth weight , necrotizing enterocolitis , jaundice , birth weight , meconium aspiration syndrome , hypoglycemia , sepsis , meconium , obstetrics , pregnancy , surgery , biology , genetics , fetus , insulin
Objective: To determine the spectrum of problems in LBW neonates at Secondary care level and their immediate outcome.Design: Descriptive Study. Place & Duration of Study: Agha Khan Hospital for Women and Children, Kareemabad and Agha KhanHospital for Women and Children , Kharadar, from January 2009 till December 2009. Results & Conclusions: Of the 4500 babies born inAgha Khan secondary hospitals, 429 were Low Birth Weight and 191 were admitted to the nursery. The ratio of males to females was0.86:1.0 (199 males and 230 females). Approximately 41% of the babies were less than 2 kgs and Preterm babies made up 20.9 % oftotal low birth weight. Of the 191 babies, 99 (51.8%) had hyperbilirubinemia ; 16(8.3%) had respiratory distress syndrome of thenewborn; 16(8.3%) had vomiting and they were observed for necrotizing enterocolitis; 21(10.9%) had presumed sepsis; 12 (6.2%) hadhypocalcemia; 11(5.7%) had hypoglycemia 08 (4.1%) had Meconium Aspiration Syndrome;; 05 (2.4%) had thrombocytopenia; and 02(1.04%) had hyperviscosity with hematocrit of more than 65%. Common causes of morbidity in LBW babies are jaundice, sepsis,Respiratory distress, hypoglycemia and hypothermia. Introduction of standard management guidelines aid in reduction of morbidity. Withcareful selection of cases and predetermined criteria for transfer to the tertiary level nursery, it is possible to care for a vast majority of thenewborns in nurseries at secondary level .