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Definition: Birth weight less than 2.5 kg regardless of gestational age taken within a hour of birth
Two main groups: Born Prematurely i.e. short gestation Fetal growth retardation
Causes of preterm
Multiple Births Ac Infections Hard Physical work Hypertensive disorder of Pregnancy
LBW Incidence
WHO estimates 25 million LBW babies born each year i.e 17% of all live births 95% of them in developing countries while India contributes 30% Bangladesh 36%, Pakistan 19%, Srilanka 22% USA, UK & Singapore 8% while Switzerland 6% & Sweden 4%
WHA target
Understanding the gravity 34th World Health Assembly recommended reduction of LBW to be targeted to bring down to less than 10% as a HFA goal. Govt of India has also wished to control the problem and reduce the incidence below 10%.
Risk factors
Malnutrition Infection Unregulated Fertility Under the background of poor SE status and environment Too early, Too close & Too many pregnancy Maternal Anemia No rest , sleep & Heavy work during pregnancy Smoking tobacco
Prevention
Direct Intervention Identify Pregnant women at risk based on the risk factors already stated Increase food intake: Increase even in the last trimester will improve birth weight Treatment of Anemic mothers increased birth weight in South India
Prevention
Direct Intervention Controlling Infections: It goes unnoticed. Treat for Malaria, UTI,Cytomealovirus,rubella, Syphilis Early detection and treatment of Medical disorders like Hypertension, PET, Diabetes
Prevention
Indirect Intervention F.P., Avoidance of excessive smoking, adolescent health & Nutrition, Prevent too early marriage, too close & too many pregnancies Follow 3 Es
ENC Packages
Resuscitation of Asphyxiated Newborn
Prevention of Hypothermia Prevention of infections Exclusive Breast feeding Referral of sick newborn babies
Thank You