Author:
Armenda Syifa,Wibowo Tunjung,Sitaresmi Mei Neni
Abstract
Caring for extremely low birth weight (ELBW) infants remains a challenge in developing countries due to high morbidity and mortality rates. In Dr. Sardjito Hospital, Yogyakarta, the ELBW survival rate was 39.3%.1 Expected outcomes of these ELBW survivors are increased risk of mortality during the infant period and short term as well as long term complications.2 Osteopenia of prematurity is a comorbidity that can interfere with longterm growth and neurodevelopment.3
Osteopenia of prematurity is found in approximately 55% of babies with ELBW.4 Antenatal demineralization is aggravated by improper nutritional interventions during perinatal care and post-discharge care. This comorbidity is asymptomatic in the infant’s early life, but later contributes to linear growth failure, delayed teeth eruption, respiratory problems, and bone fractures in ELBW babies.3 Early detection and prompt management of osteopenia of prematurity are needed for all ELBW infants. Here we present a case of an ELBW infant with osteopenia of prematurity who we observed for 18 months. The child underwent multidisciplinary interventions for modifiable prognostic factors to support optimal achievement of growth and neurodevelopment.
Publisher
Paediatrica Indonesiana - Indonesian Pediatric Society
Subject
Pediatrics, Perinatology and Child Health
Reference21 articles.
1. 1. Wibowo T, Haksari EL, Wandita S. Faktor prognostik kematian bayi berat lahir sangat rendah di rumah sakit rujukan tingkat tersier. Sari Pediatr.2012;13:401. DOI: 10.14238/sp13.6.2012.401-5.
2. 2. Papageorgiou A, Pelausa E. Management and outcome of extremely low birth weight infants. J Pediatr Neonatal Individ Med. 2014;3:1-6. DOI:10.7363/030209
3. 3. Harrison CM, Johnson K, McKechnie E. Osteopenia of prematurity: a national survey and review of practice. Acta Paediatr. 2008;97:407-13. DOI:10.1111/j.1651-2227.2007.00721.x
4. 4. Lam HS, So KW, Ng PC. Osteopenia in neonates: a review. Hong Kong J Paediat. 2007;12:118-24.
5. 5. Ikatan Dokter Anak Indonesia. Konsensus asuhan nutrisi pada bayi prematur. Cetakan pe. Jakarta: Badan Penerbit Ikatan Dokter Anak Indonesia; 2016.