1. IN THE NAME OF GOD

3. MANAGEMENT OF LBW IN THE FIRST WEEK OF LIFE DR. M. HABIBI NEONATOLOGIST ASSISTANT PROFESSOR OF PEDIATRICS

4. A. DELIVERY ROOM MANAGEMENT : I- THERMOREGULATION 1. WARMER ( SERVOCONTROL) 2. DRYING COTTON 3. WRAPING POLYETHYLENE 4. SUCTIONING

5. II- RESPIRATORY SUPPORT : HOOD A) O2 MASK FOR 7-10 MIN CANNULA UNTIL SATURATION RISE ABOVE 90% B) SURFACTANT PROPHYLAXY FOR INFANT WHO NEED INTUBATION C) FOR INFANT BREATH SPONTANEUSLY & HR>100 NCPAP ( 4-6 CMH 2 O ) TO PREVENT ATELECTASIS

6. III- TRASPORT: SHOULD BE TRANSPORTED TO NICU B) IN NICU : 1. T & H CONTRAL *DOUBLE WALLED INCUBATOR WITH 70-80% HUMIDITY *RADIANT WARMER WITH SERVOCONTROL MAINTAIN AXILLARY T 36-36.5 *PREHEATED EQUIPPED ( STETHOSCOPE-IV FLUID) IN NEONATE BECOME HYPOTHERMIC MUST BE GRAGUALLY REWARMED (0.4° C/20´ ) DO NOT REWARM FASTER THAN 1 °C/HR(OR LOWER)

7. FIRST DAY 2. FLUID & ELECTROLYTES SECOND AND SUBSEQUENT DAYS IF WARMER OR PHOTOTHERAPY USED FLUID VOLUME INCREASED & MANITORING OF FLUID ( UOP- SG - BODY WEIGHT) 12-24 0.5 CC/KG/HR UOP DAY2 1-2 CC/KG/HR THEN 3-5 CC/KG/HR

8. 3. CHECK OF BS ( 50-150) 4. CHECK OF CALCIUM (>6-7) 5.TPN AND VITAMINE ( A……) TROPHIC 6. FEEDING REGULAR 7. IN UNSTABLE NEONATE USE MECHANICAL VENTILATION (CONVENTIONAL - HFO - NCPAP - HFNC)

9. O2 SAT 8. MANITORING PCO2 ABG 9. SUCTION ( AS NEEDED BASES ) 10. SKIN CARE 11. ANTIBIOTICS TREATMENT 12. PHOTOTHERAPY PROPHYLAXY 13. PAIN CONTROL 14. MINIMAL STIMULATION 15. CHANGE POSITION EVERY 4 HR 16. KANGAROO CARE 17. EDUCATION OF PARENT