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Integrated Maternal and Newborn Care Basic Skills Course ...

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<strong>Care</strong> of the LBW baby<br />

(Birth weight less than 2500 gm; preterm - < 37 wks.,<br />

intrauterine growth retardation, or both)<br />

Wash h<strong>and</strong>s before touching the baby<br />

Dry <strong>and</strong> wrap the baby including head/start skin-to-skin contact<br />

Practice early <strong>and</strong> frequent exclusive breastfeeding<br />

Keep the baby warm, ideally through practicing kangaroo mother care<br />

Delay bathing for one week or until baby is well stabilized<br />

When bathing, use warm water, dry, wrap well or place in skin-to skin contact<br />

Evaluate baby<br />

YES<br />

Sucking well<br />

Maintaining temperature<br />

Has no danger signs<br />

NO<br />

Manage at centre/home<br />

Counsel mother/family<br />

Advise mother to check<br />

baby at home at feed<br />

times until s/he is doing<br />

well. Weekly follow-up<br />

by health worker<br />

At follow-up, if poor<br />

weight gain or baby has<br />

danger sign<br />

Send to referral<br />

center<br />

Figure 12.8. Algorithm for care of the LBW baby.<br />

148<br />

<strong>Integrated</strong> maternal <strong>and</strong> newborn care<br />

<strong>Basic</strong> skills course

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