Medicine an Surgery notes

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THE MORBIDITY AND MORTALITY OF LBW IN KILIFI DISTRICT HOSPITAL. Study done-12/10/05 to 18/12/05 By: Alice Nkirote Kimani. Julius Oluoch Okell. Supervisors: Dr.Richard Idro. Dr.Moses Nderitu.BACKGROUNDDefinition:LBW is a birth weight <2500 gm irrespective of gestational age (WHO).Further classificationBorderline LBW: 2000-2499 g LBW: 1500-1999 g Very LBW:1000-1499 gExtremely LBW: Less than 1000 gBirth weight is an important determinant of perinatal, neonatal and post neonatal outcomes.The causes of low birth weight include:1. Intra-uterine growth restriction (IUGR)2. Preterm delivery, or3. Acombination of bothPoor growth during the intrauterine period increases the risks of perinatal and infant morbidity and mortality.Adverse intra-uterine environment results in either IUGR or preterm birth.Prematurity is defined as delivery before 37 completed weeks of gestation. Most but not all premature infants are LBW. Preterm birth is also of significant public health importance because of its association with an increase in mortality and childhood morbidities AETIOLOGYSome of the causes of preterm delivery include:Acute infections-malaria,UTIMultiple gestation Maternal medical conditions-hypertension, diabetesHard physical work or stressPlace

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