Gambaran Adaptasi Fisiologis Bayi Berat Badan Lahir Rendah
DOI:
https://doi.org/10.31539/qz7hsa13Abstract
This study aims to describe the physiological adaptation of low birth weight infants during the first 72 hours of life based on changes in body weight, body temperature, respiratory rate, heart rate, and blood glucose levels. This study used a descriptive approach with a case study design. The results showed that low birth weight infants experienced a gradual physiological adaptation process during the first 72 hours of life. Body temperature increased toward the normal range, respiratory rate and heart rate decreased within physiological limits, indicating stability, while blood glucose levels gradually increased. Initial weight loss remained within normal physiological limits and was followed by a tendency to stabilize on the third day. Low birth weight infants demonstrated increasingly stable physiological adaptation during the first 72 hours of life with adequate neonatal care support. Comprehensive monitoring of physiological parameters is crucial for early detection of complications and optimization of the neonatal adaptation process. The conclusions of this study indicate that low birth weight infants are capable of achieving gradual physiological adaptation during the early neonatal period. Therefore, continuous physiological monitoring and adequate neonatal care are necessary to maintain the stability of the infant's condition and prevent further complications.
Keywords: Physiological Adaptation, LBW, Case Study, Neonates, Neonatal Care
References
Aziz, K., Lee, H. C., Escobedo, M. B., Hoover, A. V., Kamath-Rayne, B. D., Kapadia, V. S., Magid, D. J., Niermeyer, S., Schmölzer, G. M., Szyld, E., Weiner, G. M., Wyckoff, M. H., Yamada, N. K., & Zaichkin, J. (2020). Part 5: Neonatal Resuscitation: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation, 142(16_suppl_2), S524–S550. https://doi.org/10.1161/CIR.0000000000000902
Brown, J., & Tulloh, R. (2023). Adaptation for Life After Birth: A Review of Neonatal Physiology. Anaesthesia & Intensive Care Medicine, 24(1), 1–9. https://doi.org/10.1016/j.mpaic.2022.11.002
De Bernardo, G., De Santis, R., Giordano, M., Sordino, D., Berselli, G., Pagani, F., Buonocore, G., & Perrone, S. (2023). Body Weight Loss after Birth Increases Stress in the Newborns. Global Pediatrics, 3, 100033. https://www.researchgate.net/publication/366661151_Body_weight_loss_after_birth_increases_stress_in_the_newborns
Giouleka, S., Gkiouleka, M., Tsakiridis, I., Daniilidou, A., Mamopoulos, A., Athanasiadis, A., & Dagklis, T. (2023). Diagnosis and Management of Neonatal Hypoglycemia: A Comprehensive Review of Guidelines. Children, 10(7), 1220. https://doi.org/10.3390/children10071220
Haksari, E. L., Irawan, G., Lusyati, S. D., Wibowo, T., Yunanto, A., Rukmono, P., Sianturi, P., Alasiry, E., Primadi, A., Samad, B. M., Etika, R., Wilar, R., & Dharmasetiawani, N. (2025). Neonatal Mortality and Survival of Low Birth Weight Infants at Hospitals in Indonesia: A Multi-Center Study. Scientific Reports, 15(1), 31607. https://doi.org/10.1038/s41598-025-16401
Juriyah, J., Zakiyyah, M., & Rohmatin, H. (2024). Hubungan Pemberian ASI dengan Kenaikan Berat Badan pada Bayi Berat Badan Lahir Rendah (BBLR) di Ruang NICU RSUD Dr. Mohamad Saleh Kota Probolinggo. ASSYIFA: Jurnal Ilmu Kesehatan, 1(1), 181–190. https://doi.org/10.62085/ajk.v1i1.32
Kuraesin, I., Sari, R. S., & Sari, F. R. (2021). Pengaruh Nesting terhadap Perubahan Fisiologi dan Perilaku Bayi Prematur di Ruang Perinatologi RSUD Kabupaten Tangerang tahun 2020. Jurnal Health Sains, 2(1) 63–72.. https://doi.org/10.46799/jhs.v2i1.95
Kurniasih, D. U., & Ramawati, D. (2024). Deteksi Dini Gangguan Pertumbuhan pada Bayi Risiko Tinggi Melalui Monitoring Berat Badan: A Systematic Review. Holistik Jurnal Kesehatan, 18(5) 635–642. https://doi.org/10.33024/hjk.v18i5.326
Madar, J., Roehr, C. C., Ainsworth, S., Ersdal, H., Morley, C., Rüdiger, M., Skåre, C., Szczapa, T., te Pas, A., Trevisanuto, D., Urlesberger, B., Wilkinson, D., & Wyllie, J. P. (2021). European Resuscitation Council Guidelines 2021: Newborn Resuscitation and Support of Transition of Infants at Birth. Resuscitation, 161, 291–326. https://doi.org/10.1016/j.resuscitation.2021.02.014
Melinda, R. O., & Wartono, M. (2021). Berat Badan Lahir dan Kejadian Hipoglikemia pada Neonatus. Jurnal Biomedika dan Kesehatan, 4(4), 164–169. https://doi.org/10.18051/JBiomedKes.2021.v4.164-169
Mishra, U., August, D., Walker, K., Jani, P. R., & Tracy, M. (2024). Thermoregulation, Incubator Humidity, and Skincare Practices in Appropriate for Gestational Age Ultra-Low Birth Weight Infants: Need for More Evidence. World Journal of Pediatrics, 20(7), 643–652. https://doi.org/10.1007/s12519-024-00818-x
Munyaw, Y., Urdal, J., Ersdal, H., Ngarina, M., Moshiro, R., Blacy, L., & Linde, J. E. (2023). Fetal to Neonatal Heart Rate Transition During Normal Vaginal Deliveries: A Prospective Observational Study. Children, 10(4), 684. https://doi.org/10.3390/children10040684
Nugrahani, R., & Ningrum, D. (2023). Prevalensi dan Faktor Risiko Bayi Berat Lahir Rendah di Indonesia. Jurnal Kesehatan Masyarakat Indonesia, 18(2), 85–92. https://doi.org/10.31983/jomisbar.v7i2.12963
Nxumalo, M., Els-Goussard, I., Sprenger, K., & Joolay, Y. (2024). Surfactant for the Treatment of Respiratory Distress Syndrome in Very Low Birth Weight Infants at a Level 2 Hospital: A Descriptive Retrospective Cohort Study—Safety and Efficacy. Tropical Doctor, 54(2), 131–135. https://doi.org/10.1177/00494755231217011
Pandey, U., Rai, G., Anusha, K., & Rai, H. (2025). To Evaluate the Expression of Egr2 Gene in Term Low Birth Weight Newborns. Open Access Journal of Gynecology, 10(3), 000302. https://doi.org/10.23880/oajg-16000302
Roeper, M., Hoermann, H., Kummer, S., & Meissner, T. (2023). Neonatal Hypoglycemia: Lack of Evidence for a Safe Management. Frontiers in Endocrinology, 14, 1179102. https://doi.org/10.3389/fendo.2023.1179102
Sivanandan, S., & Sankar, M. J. (2023). Kangaroo Mother Care for Preterm or Low Birth Weight Infants: A Systematic Review and Meta-Analysis. BMJ Global Health, 8(6), e010728. https://doi.org/10.1136/bmjgh-2022-010728
World Health Organization. (2022). Newborns: Reducing Mortality. https://www.who.int/news-room/fact-sheets/detail/newborns-reducing-mortality
Zamir, I. N., Sjöström, E. S., van den Berg, J., Naumburg, E., Berhan, Y., & Domellöf, M. (2025). Glucose Disturbances in Low Birth Weight Infants Nearing Term Age—Results from the Prospective LIGHT-Study Using Continuous Glucose Monitoring. European Journal of Pediatrics. 184, Article 452. https://doi.org/10.1007/s00431-025-06284-5
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Aan Achmad Baharudin, Siti Arifah
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
