This refers to anaemia occurring after the first week and often much later. It is due to a number of factors which include:
- Deficiency of haematinics.
- Blood loss associated with repeated investigation.
- Intracranial haemorrhage.
- Erythropoietin deficiency.
Feeding chart for preterm and low birth weight babies: Amount of milk to give every 3 hours (ml)
|Birth weight||Age in days|
|(KG)||1||2||3||4||5||6||7||8 or more|
Note: Introduce feeds as soon as possible; preferably no later than 24 hrs after birth. Monitor weight at least 3 times a week. Weight gain after the first week is 15g/ kg/day.
- Treat with iron and folic acid.
- Transfuse if:
- Symptomatic: Poor weight gain, recurrent apnoea, congestive cardiac failure, or
- Hb < 8g
Limit blood loss; give prophylactic iron starting from 4 to 6 weeks of age.