LOW BIRTH WEIGHT INFANT WITH RESPIRATORY DISTRESS SYNDROME

Satya Adi Nugraha

Abstract


Low birth weight (LBW) infants are born with a birth weight less than 2500 grams regardless of gestation. The prevalence of LBW is about 10% of all pregnancies. Some 3-5% of LBW occurred in healthy mothers, and more than 25% of events occurred in mothers with high risk pregnancies. A newborn boy, 1 day old, delivered from operating room (OR) Abdul Moeloek Hospital with preterm age and low birth weight. Baby born per abdominan with indication antepartum hemorrhage because placenta covering birth canal. Baby weighing 1800 g, body length 45 cm, with Apgar score 5/6/7. Physical examination obtained unwell state, compos mentis awareness, temperature 36.9 ° C, heart rate 138 x/min, respiration rate 64 x/min, nutritional status weight/age = <-3 SD (impression: poor nutrition), PB/age= -3 SD <-2 SD (impression: short), BB/PB: <-3 SD (impression: very thin), Ballard score of 22 (32 weeks gestation), suprasternal and subcostal retraction, moaning (+), vesicular breathing (+/+). Hb: 16.8 g/dl; leukocytes: 24,400/ul, platelets: 255,000/ul. Patients was diagnosed LBW with Respiratory Distress Syndrome (RDS). Management of LBW infants with RDS in this case is installation of Continous Positive Airway Pressure (CPAP), trophic feeding, phototherapy, giving aminophylline and antibiotics. [J Agromed Unila 2014;1(2):190-194]

 

Keywords: low birth weight, respiratory distress syndrome


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