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What is LBW in Gynaecology?

Published in Low Birth Weight 2 mins read

In gynaecology, LBW stands for Low Birth Weight, a significant concern for both mother and child. It refers to babies born with a weight below 2500 grams (5.5 pounds), regardless of their gestational age.

Understanding Low Birth Weight

Low birth weight can stem from several factors, each posing unique challenges to the newborn's health:

Causes of LBW

As mentioned in the provided reference, low birth weight is caused by:

  • Intrauterine Growth Restriction (IUGR): This occurs when a fetus does not grow at the expected rate inside the uterus. This can be caused by factors such as:
    • Maternal health issues (e.g., high blood pressure, preeclampsia)
    • Placental problems
    • Fetal abnormalities
  • Prematurity: Babies born before 37 weeks of gestation are considered premature. Premature birth often results in low birth weight, as the baby has had less time to grow and develop in the womb.
  • A combination of IUGR and Prematurity: Sometimes both factors contribute to low birth weight.

Consequences of LBW

Low birth weight is linked to numerous health problems, as noted in the reference:

  • Increased Fetal and Neonatal Mortality and Morbidity: Babies with low birth weight are at a higher risk of death and illness during the fetal and neonatal periods.
  • Inhibited Growth and Cognitive Development: LBW can hinder physical growth and may lead to developmental delays and cognitive impairments.
  • Non-Communicable Diseases (NCDs) Later in Life: LBW is associated with an increased risk of developing conditions such as diabetes, cardiovascular disease, and hypertension in adulthood.

Managing Low Birth Weight

Managing low birth weight often requires a multidisciplinary approach involving:

  • Prenatal Care: Regular check-ups during pregnancy help identify risks early.
  • Nutritional Support: Ensuring the mother receives adequate nutrition during pregnancy can aid in proper fetal growth.
  • Specialized Neonatal Care: Newborns with LBW often require intensive care in a neonatal intensive care unit (NICU) to support breathing, temperature control, and feeding.
  • Long-term monitoring and support: Regular follow-ups can help address development and health issues linked to LBW.

In summary, LBW in gynaecology indicates that the baby is born with a weight below 2500 grams which is associated with several health problems.