Care of Low Birth Weight and/ or pre-term Infants

Low birth weight babies are :
. Low birth weight as a result of their born pre-term (<37 weeks) . Born at term however weight but a pair of, 500 g these newborn gift higher risks of . Physiological condition . Symptom . Hypocalcaemia . Metabolic process distress and Severe Infections . Jaundice Management . Keep the baby heat: guarantee a decent thermal protection (Skin contact / marsupial method) bathtub with warm water solely. . Early breast-feeding and frequently: each a pair of or three hours. If the kid is incapable of feeding – show the mother a way to specific the breast milk each a pair of hours and feed the baby via a nasogastric tube. . Early recognition of infection. . Jaundice Neonatal Jaundice Physiological jaundice Clinical signs . Frequent in pre-term baby. . Starts on the second to fourth day of life. (Skin color is sometimes traditional by the top of 1st week) . There’s no anemia and excretory product is obvious . Clinical examination is traditional. . There’s no signs suggesting infections. (No associated abnormalities with jaundice) Treatment . Recommendation to sun (natural phototherapy) with eye protection and smart hydration: quarter-hour thrice daily. . The sole danger is medicine complication if high level of hematoidin (Kernicterus). . Radiation therapy victimization ultraviolet {light ultraviolet illumination|UV|actinic radiation actinic ray} light will be used if offered (with eye protection and fluid balance monitoring). Nonphysical jaundice Clinical signs suggesting pathological jaundice . Early onset of jaundice: premature < twelve hours and point baby < twenty four hours . Prolonged jaundice: premature > a pair of weeks and point baby > one week.
Associated signs
+/- Signs of haematolysis (pallor, abnormally, hypertrophy, hemoglobinuria or anasarca)
+/- Signs of severe infections
. Stools discoloration
. Check hematocrit or Hb
. Check protozoa infection smear if endemic space (congenital protozoa infection is rare)
. If offered, check for liver disease, syphilis
Rule out foe to-maternal incompatibility (Rhesus Antigen): terribly rare.
. Do a cells blood count
. Treat as for severe infections if suspected
. Radiation therapy if offered
. Insertion if required
. Protozoa infection treatment if smear positive (check additionally mother) however it’s terribly rare.
Cord infection
Redness of channel with or while not pus
always check if mother is vaccinated against tetanus
if not, administer tetanus immune globulin to the newborn.
Local infection:
Clinical signs:
. No extension of redness on abdominal skin
. General examination is traditional
Local antiseptic (Gentian violet or Betadine)
. Amoxil PO (syrup or tabs diluted with water and sugar) 25-50 mg/ metric weight unit divided in three doses for 5-7 days.
Potentially dangerous infection
Clinical Signs:
. Redness extending on abdominal skin
. Any sign of severe microorganism infections
. See chapter severe microorganism infection infants < a pair of months. (Cloxacillin + gentamicin)

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