LBW Assignment

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1.

Explain how Low birth weight continues to be a significant public health problem

globally, highlighting both short- and long term consequences 20 marks

According to WHO [2017], low birth weight [LBW] is defined as weight at birth less than 2500

g (5.5 lb). Low birth weight continues to be a significant public health problem globally and is

associated with a range of both short- and long-term consequences. Overall, it is estimated that

15% to 20% of all births worldwide are LBW, representing more than 20 million births a year.

Kim and Saada [2019] suggested that there is a lot of considerable variation in the prevalence of

low birth weight across regions and within countries; however, the great majority of low birth

weight births occur in low- and middle-income countries and especially in the most vulnerable

populations6,7. Regional estimates of LBW include 28% in south Asia, 13% in sub-Saharan

Africa and 9% in Latin America (Lapillonne et al 2019). It is worth noting that these rates are

high, in spite of the fact that the data on LBW remain limited or unreliable, as many deliveries

occur in homes or small health clinics and are not reported in official figures, which may result

in an underestimation of the prevalence of LBW

Lapillonne et al (2019), noted that low birthweight implies reduced fetal growth prior to delivery

either through shortened gestation, growth retardation, or both. Generally defined as a newborn

weighing less than 2500 g (approximately 5.5 pounds) at birth, low birthweight can elevate the

risk of death from a variety of metabolic, nutritional, and infectious processes. It is estimated that

low birthweight occurs in approximately 15% of all newborns, almost 20 million infants

annually throughout the world, with the largest contribution coming from South Asia. This 15%

of births, however, accounts for some 60–80% of all neonatal deaths (Lapillonne et al 2019).
Lapillonne A, O’Connor DL, Wang D, Rigo J. [2019]. Nutritional recommendations for the late-

preterm infant and the preterm infant after hospital discharge. J Pediatr.;162:S90–S100.

doi:10.1016/j.jpeds.2012.11.058.

Sherry B, Mei Z, Grummer-Strawn L, Dietz WH. [2013]. Evaluation of and recommendations

for growth references for very low birth weight (<=1500 gm) infants in the United States.

Pediatrics; 111(4):750-758

Casey PH, Kraemer HC, Bernbaum J, Yogman MW, Sells JC. [2019]. Growth status and growth

rates of a varied sample of low birth weight, preterm infants: A longitudinal cohort from

birth to three years of age. Journal of Pediatrics;119, 599-605.

Kuczmarski RJ, Ogden C, Grummer-Strawn L, [2000]. CDC Growth Charts: United States.

Advance Data Report No. 314. NCHS.

National Center for Health Statistics [2000]. CDC Growth Charts: United States. Advance Data

No. 314, Vital and Health Statistics of the Centers for Disease Control and Prevention,

May 30,.

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