ABSTRACT
Low birth weight (LBW) is a significant public health challenge linked to increased neonatal morbidity, mortality, and long-term developmental issues. This study examines the nutritional care and growth patterns of LBW infants born at Gadarf Teaching Hospital, Sudan, from January to June 2024, with a follow-up period of six months. A longitudinal, facility-based approach was used to assess infant feeding practices, maternal nutrition, and health outcomes.
The findings reveal that while exclusive breastfeeding was common, many infants received formula feeding due to various maternal and socioeconomic factors. Despite efforts to promote optimal nutrition, a considerable number of LBW infants did not reach standard growth milestones, with many experiencing stunted growth and undernutrition. Delayed breastfeeding initiation and early introduction of complementary foods negatively impacted growth patterns. Socioeconomic factors such as maternal education, household income, and healthcare accessibility played a critical role in determining neonatal nutritional status.
Additionally, hospital readmission rates were notable, with respiratory distress, infections, and feeding difficulties being common causes. Many infants missed follow-up visits due to financial constraints, lack of awareness, and transportation issues, further contributing to poor growth outcomes.
This study highlights the urgent need to improve maternal nutrition, promote exclusive breastfeeding, and enhance postnatal care services. Strengthening community-based healthcare programs, increasing awareness of optimal infant feeding practices, and ensuring accessible healthcare can significantly improve neonatal outcomes. Addressing these challenges through targeted interventions and policy reforms is essential in reducing neonatal mortality and promoting healthy development in LBW infants.