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Low birth weight babies management

WHO Care of the preterm and low-birth-weight newbor

regularly updating clinical guidelines for the management of pregnancy and mothers with preterm labour or at risk of preterm birth, and those on the care of preterm babies, including Kangaroo Mother Care, feeding babies with low birth weight, treating infections and respiratory problems, and home-based follow-up care (see WHO Recommendations on. Management of Low Birth Weight Babies Teaching Aids: NNF LBW- 1 . Depends on birth weight, gestation and severity of complications . Teaching Aids: NNF LBW-36 . Title: managementoflwb Author: client1 Keywords: managementoflwb Created Date: 6/26/2014 3:36:10 PM. Extremely low birth weight (ELBW) infants are particularly vulnerable at birth, and stabilization in the delivery room (DR) remains challenging. After birth, ELBW infants are at high risk for the development of thermal dysregulation, respiratory insufficiency, and hemodynamic instability due to their immature physiology and anatomy hMANAGEMENT OF LOW BIRTH WEIGHT BABY FOR OPTIMAL GROWTH AND DEVELOPMENT M. Sholeh Kosim Perinatology Sub Division Pediatrics Department Medical Faculty Dipone Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising Babies with a birth weight of < 2.5 kg irrespective of gestational age are called Low Birth Weight Baby. Most normal babies weigh 5.5 pounds by 37 weeks of gestation. At birth, most babies weigh 6 to 8 pounds. There is really nothing special to do for preventing Low Birth Weight Baby

Management of Extremely Low Birth Weight Infants in

Management of LOW BIRTH WEIGHT BABY - SlideShar

Low birth weight is a term used to describe babies who are born weighing less than 5 pounds, 8 ounces (2,500 grams). An average newborn usually weighs about 8 pounds. A low-birth-weight baby may be healthy even though he or she is small. But a low-birth-weight baby can also have many serious health problems Low birth weight babies management tip #1: How you feed them matters. To breastfeed or give them formula? There are a few things you need to know about both when it comes to birth weight. Babies feeding on formula are likelier to pack on weight faster than their breastfed counterparts. In fact, it's possible for formula-fed babies to put on. All low-birth-weight infants must be carefully assessed after birth. Low-birth-weight infants are at an increased risk of problems and may need special care. 3-3 Why are some infants born with a low birth weight? Most infants weigh between 2500 g and 4000 g at birth

Low Birth Weight Baby Causes and Feeding Managemen

very low-birth-weight and extremely low-birth-weight infants. BPD affects many organ systems, and infants with BPD are at increased risk for rehospitalization and numerous complications following NICU discharge. The management of BPD and medically related problems, particularly during the first 2 years of life, remains In the hospital, low birth weight baby management includes: IV fluids or gavage feeding. For babies who struggle to feed, an IV or a small tube placed in the stomach via the mouth ensures delivery of the vital nutrients, vitamins, minerals and fluids necessary to grow and thrive Low birthweight is when a baby is born weighing less than 5 pounds, 8 ounces. Some babies with low birthweight are healthy, even though they're small. But having a low weight at birth can cause serious health problems for some babies. A baby who is very small at birth may have trouble eating, gaining weight and fighting off infections low birth weight infants. J Pediatr Neonat Individual Med. 2014;3(2):e030209. doi: 10.7363/030209. Introduction With regionalization of perinatal care, improve

Low Birth Weight Babies Management Tips And Effect

When a baby is born weighing less than 2,500 grams (5 lbs, 8 ounces) he or she is considered to have a low birth weight. In some cases, babies born prematurely or with intrauterine growth restrictions (two leading causes of low birth weight - see below) may see an increase in risks for complications such as mental retardation, vision loss, and/or learning problems NURSING MANAGEMENT OF LOW BIRTH WEIGHT BABY AND.pptx. Uploaded by. Archana. 0 ratings 0% found this document useful (0 votes) 4 views 30 pages. Document Information. click to expand document information. Date uploaded. Nov 23, 2020

About 80 percent of low birth weight infants suffer some long-term side effects, from impaired immune systems or lung problems to learning disabilities, behavior problems or even cerebral palsy. About 20 percent of premature and low birth weight babies go on to have no health problems at all For live births, birthweight should preferably be measured within the first hour of life, before significant post-natal weight loss has occurred. Low birthweight is defined as less than 2,500 grams (up to and including 2,499 grams) This article reviews recent progress in the management and outcomes of some of the most common conditions affecting infants with very low birth weight (1500 g or less) and extremely low birth weigh.. The feasibility of introducing a case management programme for acute respiratory infections among low-birth-weight infants at the primary health care level was investigated in 37 villages in the Indian state of Haryana. Twenty-one of the villages served as the intervention area, while the remaining 16 formed the control area Low birth weight is a term used to describe babies who are born weighing less than 5 pounds, 8 ounces (2,500 grams). An average newborn usually weighs about 8 pounds. A low-birth-weight baby may be healthy even though they are small. But a low-birth-weight baby can also have many serious health problems

A neonate is called low birth weight baby when its birth weight is less than normal which is 2,500 grams. According to WHO Low birth weight neonates are those weighing less than 2,500 grams at birth. The definition helps in identifying neonates requiring special care Low birth weight may be a result of preterm birth. Low birth weight (LBW) is defined by the World Health Organization as a birth weight of an infant of 2,499 g (5 lb 8.1 oz) or less, regardless of gestational age. Infants born with LBW have added health risks which require close management, often in a neonatal intensive care unit (NICU) Babson SG. Growth of low-birth-weight infants. J Pediatr 1970; 77:11. Ehrenkranz RA, Younes N, Lemons JA, et al. Longitudinal growth of hospitalized very low birth weight infants. Pediatrics 1999; 104:280 Preterm birth rate Probability of baby being born alive before 37 completed weeks of pregnancy, expressed per 100 live births. [5] Low birth weight rate Percentage of infants weighing less than 2500g at birth. [1] Number of preterm births Number of babies born alive before 37 completed weeks of pregnancy. [5

Initial Management of the Extremely Low-Birth-Weight

To provide safe management of low birth weight in the maternity unit DEFINITIONS: Low Birth weight babies are those whose weight is less than 2500 grams Full term birth is at 37 or more gestational weeks thSmall for gestational age (SGA) babies are those whose birth weight is below the 1 LOW BIRTHWEIGHT A baby's low weight at birth is either the result of preterm birth (before 37 weeks of gestation) or of restricted foetal (intrauterine) growth.5 Low birth-weight is closely associated with foetal and neonatal mortality and morbidity, inhibited growth and cognitive development, and chronic diseases later in life. Babies are weighed within the first few hours after birth. The weight is compared with the baby's gestational age and recorded in the medical record. A birthweight less than 2,500 grams (5 pounds, 8 ounces) is diagnosed as low birthweight. Babies weighing less than 1,500 grams (3 pounds, 5 ounces) at birth are considered very low birthweight Postnatal malnutrition of extremely low birth-weight infants with catch-up growth postdischarge. J Perinatol. 2003;23:477-482. Abstract; American Academy of Pediatrics Committee on Nutrition. Nutrition needs of low-birth-weight-infants. Pediatrics. 1985;75:946-986. Lewis ST. Nutritional management of the very low birthweight infant Major procedural complications related to transcatheter PDA closure in extremely low birth weight (ELBW) infants are relatively infrequent (< 3%) ,but may be associated with a fatality if not optimally managed. Operators performing transcatheter PDA closures should be knowledgeable about these potential complications and management options

Babies With Low Birth Weight Neonatology JAMA JAMA

Low Birth Weight - Lucile Packard Children's Hospita

The feeding guidelines recommended that enteral feedings should be started at day of life 2. Length of trophic feeding was standardized according to the 4 weight categories, with babies with birth weight <750 g to receive trophic feeds for 7 days, 751 to 1000 g for 5 days, 1001 to 1250 g for 3 days, and 1251 to 1500 g for 2 days PURPOSE: To provide safe management of low birth weight in the maternity unit DEFINITIONS: • Low Birth weight babies are those whose weight is less than 2500 grams • Full term birth is at 37+0 or more gestational weeks • Small for gestational age (SGA) babies are those whose birth weight is below the 10t One should expect a 10-15% weight loss over the first 5-7 days of life (up to 20% in infants <750 g). Infants which experience significant intrapartum stress will be slow to void and will therefore require less fluid over the first 24-48 hours Low-birth-weight (LBW) infants, including those with very low birth weight (VLBW), should be fed mother's own milk. 2. LBW infants, including those with VLBW, who cannot be fed mother's own milk should be fed donor human milk (recommendation relevant for settings where safe and affordable milk-banking facilities are available or can be set up)

1000 live births. midwifery care management, which consists of 2 Low birth weight babies (LBW) are defined as babies born with a body weight of less than 2,500 grams. LBW is the highest predictor of infant mortality, especially in the first month of life. Based on epidemiological studies, LBW babies have a 20-fol LOW BIRTH WEIGHT (LBW) BABY : A neonate whose weight is less than 2500 gm at birth irrespective of gestational age is a low birth weight baby. PRETERM OR PREMATURE BABY: A neonate born before completion of 37 weeks of gestation. CARE OF & MANAGEMENT LOW BIRTH WEIGHT / PRETERM BABIES All LBW / Preterm babies have special problems

Keywords: optimizing nutrition, preterm low birth weight infants, enteral feeding, expressed breast milk, donor pasteurized human milk, fortification. Citation: Kumar RK, Singhal A, Vaidya U, Banerjee S, Anwar F and Rao S (2017) Optimizing Nutrition in Preterm Low Birth Weight Infants—Consensus Summary. Front. Nutr. 4:20. doi: 10.3389/fnut. Babson SG. Growth of low-birth-weight infants. J Pediatr 1970; 77:11. Ehrenkranz RA, Younes N, Lemons JA, et al. Longitudinal growth of hospitalized very low birth weight infants. Pediatrics 1999; 104:280 An extremely low birth weight (ELBW) infant is defined as one with a birth weight of less than 1000 g (2 lb, 3 oz). Most extremely low birth weight infants are also the youngest of premature newborns, usually born at 27 weeks' gestational age or younger

H. Ghattas, in Encyclopedia of Human Nutrition (Second Edition), 2005 Low Birth Weight. Low birth-weight babies are born with low nutrient reserves, an immature immune system, and small sized lymphoid organs. Studies have also linked low birth weight to reductions in T-cell counts, altered proportions of lymphocyte subsets, and reduced in vitro lymphocyte proliferation in infants and children 1.0 Background. The problem of very low birth weight (VLBW) infants, with their attendant complications, is a significant one. A VLBW (birth weight <1500 g) rate of 3% has been reported at Chris Hani Baragwanath Hospital in Soweto for the years 2000-2002 [], this compared with 1.43% in the USA [].The survival of VLBW infants has improved steadily over the last 50 years which raises a number of.

feeding the low birth weight infant. Specific nutrient supplementation needs to be made in preterm very low birth weight infants (see below). Strong Not graded 2. (a). If mother's own milk is not available, pasteurized donor human milk from human milk bank, should be used for feeding low birth weight infants Subscribe today and give the gift of knowledge to yourself or a friend management of low birth weight babies Management of Low Birth Weight Babies. Low. Low birth weight rate Percentage of infants weighing less than 2500g at birth. [1] Number of preterm births Number of babies born alive before 37 completed weeks of pregnancy. [5] Ratio of boys to girls born preterm Ratio of baby boys to baby girls born alive before 37 completed weeks of pregnancy. [5 Of the approximately 4 million annual live births in the United States, 7.5% are classified as low birth weight (LBW, . =2,500 grams) and 1.5% as very low birth weight (VLBW, =1,500 grams). These figures translate to about 300,000 LBW infants born each year in this country 2. Premature Birth. If a baby is born before completion of 37 weeks of the gestation period, he is likely to weigh less. I t is towards the final stages of pregnancy that babies start gaining weight and develop fully. This time is crucial, and if a baby is born preterm, he might have low birth weight

When Does the Average Newborn Double His Weight? | Healthfully

In even lower birth weight infants, the Wisconsin NBS program reported an incidence of delayed TSH elevation in 1:13 in babies <500 g, 1:28.5 in babies 500 - 1000 g, 1:330 babies 1000-1500 g, and 1:737 babies 1500-2500 g . In infants with higher TSH elevation >100 mIU/L, the TSH elevation occurred earlier, ~3 weeks, while those with milder. Black infants are 3.8 times more likely to die from low birth weight complications, and Black mothers are more likely than White mothers to receive late or no prenatal care. 8 During pregnancy the mother's health environment affects the outcome of the pregnancy and the infant's health Care in the Management of Low Birth Weight Babies Dr. Elwis Elias1, Dr. Balu Ramu2 1Junior resident, Rajah Muthiah Medical College, Annamalai University, Chidambaram-608002, Cuddalore district, Tamilnadu, India 2Professor, Division of Paediatrics, Rajah Muthiah Medical College, Annamalai University, Chidambaram-608002, Cuddalore district

To study the effect of two different delivery room (DR) policies on the rate of endotracheal intubation and mechanical ventilation (EI/MV) and short term morbidity in extremely low birth weight infants (ELBWI; <1000 g, >/=24 weeks) Nevertheless, the percentage of low birth weight infants in our entire cohort was 10.7%. Although previous studies have reported a higher percentage (26%) of low birth weight infants, the scenario seems to be fast changing owing to the quality of antenatal care available to pregnant women in the recent past Low birth weight and premature births are the leading cause of mortality among newborns in India. But thanks to ongoing projects the incidence of low birth weight has reduced drastically in the last one decade

What does low birth weight mean? You'll hear this term if your baby weighs less than 2.5kg (5.5lb) when she's born. About seven in 100 babies born in the UK have a low birth weight (HSC PHA 2017, ISD Scotland 2017, NHS Digital 2017, Welsh Government 2017). If your baby weighs less than 1.5kg, midwives, doctors and nurses may describe her as having a very, or extremely, low birth weight (Hicks. Drotar D, Hack M, Taylor G, Schluchter M, Andreias L, Klein N. The impact of extremely low birth weight on the families of school-aged children. Pediatrics 2006;117(6):2006-13. Stephens BE, Bann CM, Poole WK, Vohr BR. Neurodevelopmental impairment: Predictors of its impact on the families of extremely low birth weight infants at 18 months

Background: The surgical management of esophageal atresia in extreme-low-birth-weight infants ( 1000 g) is challenging.We report on an extreme-low-birth-weight infant who was extremely preterm (510 g, 25 + 5 weeks) and of prenatally unknown Gross type C esophageal atresia The cause of the baby's low birth weight. The pregnancy stage at which the growth restriction occurred. Low birth weight babies require special care in the neonatal intensive care unit (NICU) until they gain weight and become healthy. Babies with too low a birth weight, around 500 grams, have fewer chances of survival Low birthweight (new-born babies weighing less than 2,500 grams) is associated with premature birth or sub-optimal intrauterine environments (foetal growth retardation). Low birthweight infants are at a greater risk of dying during the first year of life, and are prone to ill-health in childhood. Low birthweight is a risk factor for. (1) Babies with a birth weight of less than 2500gms irrespective of the period of gestation are called low birth weight babies. These include preterm and small for date term babies. (2) The incidence of low birth weight baby continues to be high in developing countries like India at about 30% in contrast to 5-7% in developed countries Descriptive data in the study were shown by cross table and compared by student paired 't' test and Chi-square test. The study included total 96 babies of preterm low birth weight. Among them 64(66.66%) babies had no ROP, where 32(33.33%) babies had different stages of ROP

Chawla S, Natarajan G, Rane S, Thomas R, Cortez J, Lua J. Outcomes of extremely low birth weight infants with varying doses and intervals of antenatal steroid exposure. J Perinat Med 2010;38:419-23. Article Locations Blood urea nitrogen and serum bicarbonate in extremely low birth weight infants receiving higher protein intake in the first week after birth. J Perinatol 2011; 31:535. Thureen PJ, Melara D, Fennessey PV, Hay WW Jr. Effect of low versus high intravenous amino acid intake on very low birth weight infants in the early neonatal period

Low Birth Weight Babies Management Tips And Effects

  1. 1. Care of the newborn immediately after birth 3 2. Postnatal care 4 3. Newborn immunization 6 Management of newborn and young infant illnesses 7 4. Newborn resuscitation 7 5. Management of suspected neonatal sepsis 9 6. Care of the preterm and low-birth-weight newborn 10 7. Care of the newborn of an HIV-infected mother 13 8
  2. Hypothermia is a serious yet preventable complication in babies. Knowing the causes of low body temperature might help you prevent it. 1. Prematurity and low birth weight. Infants born with a birth weight less than 1,500g and born at a gestation period of fewer than 28 weeks are at a 30 to 78% chance of developing hypothermia
  3. ants of LBW. Findings suggest low birth weight is closely associated in with gestational age, and the two terms are often mistakenly used interchangeably; however, preterm infants (below 37 completed weeks) have a higher mortality weight than full-term infants who are low weight for their gestational age [ 11]
  4. Monitoring of your baby's vital signs. Sensors may be taped to your baby's body to monitor blood pressure, heart rate, breathing and temperature. A ventilator may be used to help your baby breathe. Having a feeding tube. At first your baby may receive fluids and nutrients through an intravenous (IV) tube
  5. es two of three important strategies in a time line configuration (Fig. 1). This covers the first hours and days after birth through the end of the first postnatal year. Figure 1. Aggressive nutrition to prevent extrauterine growth restriction
  6. istration, nutrition, and virtually all other aspects of care because of physiological imma-turity

Primary Newborn Care: 3

  1. Schwartz, 2005; Yu, 2005). The infants at highest risk for developing EUGR are those classified as extremely low birth weight (ELBW). ELBW infants born at 23-27 weeks gestation and who have a weight of less than 1,000 grams are at high risk for EUGR because of their low birth weight and extreme prematurity
  2. low birth weight infants. Acta Pae- diat Scand Suppl Symp Nutr Low Birth Weight Infants 1982;296:49- 52. 4. Keenan W, et al. Morbidity and mortality associated with ex- change transfusion. Pediatrics February 1985; 75(2):417. 5. Lorenz M, Kleinman L, Kotagal U, Reller M. Water balance in very low birth weight infants: relation
  3. Management of Hypotension in the Very-Low-Birth-Weight Infant. In April 2011, the American Academy of Pediatrics endorsed the following publication: National Association of Neonatal Nurses. The Management of Hypotension in the Very-Low-Birth-Weight Infant: Guideline for Practice. Glenview, IL: National Association of Neonatal Nurses; 2011
  4. What causes low birthweight? The primary cause is premature birth, being born before 37 weeks gestation; a baby born early has less time in the mother's uterus to grow and gain weight, and much of a fetus's weight is gained during the latter part of the mother's pregnancy.. Another cause of low birthweight is intrauterine growth restriction. This occurs when a baby does not grow well in utero.
  5. Sung IK, Vohr B, Oh W. Growth and neurodevelopmental outcome of very low birth weight infants with intrauterine growth retardation: comparison with control subjects matched by birth weight and.
  6. 1.1.3 Provide feeding support (see recommendations in NICE's guideline on postnatal care up to 8 weeks after birth) if there is concern about weight loss in infants in the early days of life, for example if they have lost more than 10% of their birth weight. 1.1.4 If infants lose more than 10% of their birth weight in the early days of life, or.

Care of infants born 34-36.6 weeks gestation and/or 2.0-2.5 kg birth weight. Where clinically possible, aim to keep mother and baby together. Breastfeeding and expressed breast milk should be recommended, encouraged and supported. These babies must be managed under the care of a Paediatrician. On this page: Risks associated with the late. Extremely Low Birth Weight Skin Care Management. Date last published: 07 February 2020. Skin care of the extremely low birth weight infant (less than 1000 grams or 26 weeks gestation) & Soll, R. F. (2003). The effect of prophylactic ointment therapy on nosocomial sepsis rates and skin integrity in infants with birth weights of 501 to 1000. Very Low Birth Weight (VLBW): Birth weight < 1500 grams (3 1/3 lbs) Extremely Low Birth Weight (ELBW): Birth weight < 1000 grams (2¼ lbs) Preterm Infant defined by Age (WHO Classifcation): Moderate to Late Preterm: 32 to <37 weeks Very Preterm: 28 to 32 weeks Extremely Preterm: <28 weeks Late preterm: Infants born between 34-37 weeks. Massage is yet another essential part for your baby's weight gain. Premature and low birth weight babies respond well to gentle rubbing or stroking. Using an oil will make it easier for you to massage and will be more comfortable for your baby. Most doctors recommend that it's best if you, or your baby's grandmother massage your premature or low birth weight baby

Low Birth Weight Baby - What to Expec

  1. children born low birth weight (2500 or less grams). These problems are discussed in the original document Critical Elements of Care of the Low Birth Weight NICU Graduate (CEC - LBW). However, these adverse outcomes affect greater percentages of infants at the lower weights and often at greater severity, placing the ELBW infan
  2. Low birth weight babies had a greater risk of mortality (OR 5.89 CI 1.70 to 20.34) than NBW babies. For infants with congenital anomalies, the risk of LBW was OR 3.30 (CI 1.19 to 9.17). Babies who were born premature had a higher risk of LBW (OR 7.31, CI 5.33 to 10.04) than babies born at term
  3. Low birth weight (LBW) Definition : Birth weight <2500 g Incidence : 30% of neonates in India 3. LBW: Significance 75% neonatal deaths and 50% infant deaths occur among LBW infants LBW babies are more prone to: Malnutrition Recurrent infections Neuro developmental delayLBW babies have higher mortality and morbidit
  4. Delivery of Very Low Birth Weight Infants Georgia: Improving Performance Health Management Associates ii September 2012 o Under-developed relationships between RPCs and community hospitals of all perinatal levels. Performance for delivery of VLBW infants in facilities for high-risk neonates is highly variable by geography and payor
How Much Weight Should You Gain During Pregnancy? - StaceyBleeding Gums, Receding Gums And Loose Teeth - Drhttp://images

Birth weight of a child is an important indicator of its vulnerability for childhood illness and chances of survival. A large number of infant deaths can be averted by appropriate management of low birth weight babies and prevention of factors associated with low birth weight. The prevalence of low birth weight babies in Nepal is estimated to be about 12-32%.Our study aimed at identifying. Classification of Low Birth Weight Babies are-. a) LBW babies: Babies with birth weight of less than 2.5 kg but not less than 1.5 kg. b) Very low birth weight (VLBW) babies : Babies with birth weight of less than 1.5 kg but not less than 1 kg. c) Extreme low birth weight (ELBW) babies : Babies with birth weight of less than 1 kg In this hospital, all newborn infants presenting evidence of life, irrespective of birth weight and gestational age, are resuscitated and transferred to the Neonatal Intensive Care Unit (NICU) for clinical management. After the introduction of this protocol the mortality rate of ELBW infants dropped from 71.4% in 1977-78 to 48% in 1987-88 Extremely low birth weight (ELBW) infants are particularly vulnerable at birth, and stabilization in the delivery room (DR) remains challenging. After birth, ELBW infants are at high risk for the development of thermal dysregulation, respiratory insufficiency, and hemodynamic instability due to their immature physiology and anatomy. Although successful stabilization facilitates the transition.

Understanding the nutritional challenges of preterm infants and recognizing the role of early TPN amino acids and the importance of preterm formulas with hig.. To determine a weight-based estimation formula of NG tube length in ELBW infants. Methods: This prospective study was performed at a single-center level III neonatal intensive care unit. Low birth-weight infants admitted between May 2009 and May 2010 who required radiography for clinical reasons were included

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Besides low birth weight, 3 other early factors that are considered to be important risk factors for developing high blood pressure in adult life have been identified in individuals with IUGR. First, accelerated postnatal growth in weight and length is suggested to increase the risk for developing hypertension and type 2 diabetes in later life A premature birth is when the baby is delivered at less than 37 weeks. Premature birth accounts for about 70 per cent of all low birth weight deliveries. The good news is, only a very small percentage of newborns are born extremely low birth weight. Other causes of low birth weight in infants. Smoking; Multiple pregnancy; Drug and alcohol abus The baby under warmer has increased the risk of temperature instability, increase the chance of nosocomial infection and increase the insensible loss of water.KMC is a special way of caring for the preterm or low birth weight infants where the baby is kept in skin-to-skin contact with the mother and breastfed exclusively Preterm birth requires rapid adaptation from a liquid to a gaseous, low humidity environment. There are several ways in which this can be facilitated. The management of sodium and water balance is considered here. The extremely immature infant below 26 weeks gestation is 80-90% water. 1 In utero. Feeding Low Birth Weight Babies. The optimum weight of a baby at the time of birth is 2.5 kg for a girl, and slightly more for a boy. If the weight of the baby is lower than this, then special care needs to be taken, especially in feeding. Feeding low birth weight babies require extra efforts for mothers and caretakers The low birth weight is one of the most common problems in developing countries. Objective: The aim of the study to assess the knowledge regarding low birth weight babies among the nurses working in NICU at Narayana Medical College Hospital, Nellore