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1) LBW

• Handling
Considering that there is no need to
perfect the work of the body tools
necessary for growth and development as
well as self participation with the
environment outside the womb, it is
necessary to agree on environmental
regulation, provide food, and if needed
need oxygen, protection and increase
vitamins and iron.
1. Adjust the temperature of the
environment LBW is easy to overcome
hypothermia, therefore the temperature
must be tightly adjusted. Can with fluids
on the baby's body, then wrapped. Or it
could be by placing it under a lamp or in
an incubator. And if there is no electricity,
it could be the kangaroo method, which is
to put the baby in the mother's arms (skin
3. Prevent cyanosis How to prevent cyanosis can be by
giving oxygen so that oxygen saturation in the baby's
body can be returned within normal limits.
4. Prevent infection LBW is easily attacked by infection.
This is caused by the body's resistance to infection
decreases, relatively unable to form antibodies and the
power of phagocytosis and the reaction to inflammation
is not good. Therefore, consideration should be given to
the principles of infection protection, including gloves
before and after being held by the baby, closing the
baby's bed as soon as it is no longer used, closing the
baby's leather cord and umbilical cord.
4. Provision of vitamin K 1 mg
dose intra-muscular, once
given. Giving vitamin K to
immature babies is the
same as babies with normal
weight and maturity.
5. Intake must be guaranteed In
premature babies, suction reflex,
swallow and cough are not perfect.
Gastric capacity is still small,
digestive enzyme power, most
lipases are still lacking. Drinking
begins when the baby starts 3
hours so that the baby does not
experience hypoglycemia and
hyperbilirubinemia. In babies born
with 2000 grams or more, they can
shrink when given. Babies
weighing less than 1500 grams are
less capable of mother's milk or
bottled milk, especially in the first
days. In this case the baby is given a
drink through the stomach sonde.
PreventionIn case of preventive / preventive low birth
weight (LBW) is an important step. Things you can do:
1. Increasing periodic pregnancy checks at least 4
times during the period of pregnancy and starting
from the age of the young pregnancy. Pregnant
women who are suspected of being at risk,
especially risk factors that lead to giving birth to
LBW babies must be quickly reported, monitored
and referred to more capable health care
institutions,
2. Health education about fetal growth and
development in the womb, danger signs during
pregnancy and self-care during pregnancy so that
they can maintain their health and the fetus is well
conceived,
3. The mother should be able to plan her delivery at a
healthy reproductive age period (20-34 years), and
4. Need support from other related sectors to play a
role in improving maternal education and family
economic status so that they can increase access to
the utilization of antenatal care and maternal
nutritional status during pregnancy.

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