Handling and prevention of low birth weight newborns ?

1) LBW
A. 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 to skin).
2) 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.
3) 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.

B. Prevention
In 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.

REFRENSI :
 Proverawati, Ismawati. 2010. Low Birth Weight (LBW). Yogyakarta: Nuha
Medika
 Behrman, Kliegman Arvin, Child Health Sciences. Jakarta: Publisher of ECG
Medical Book. Issue 15.