Successfully managed extremely low birth weight baby in a resource limited setting

Birthweight significantly influences the health and nutrition of a newborn. Low birth weight (LBW) is global problem in both high low income countries it carries significant morbidity mortality. In Nigeria, Prematurity, has been found to be major cause LBW. The burden managing these patients especially those who are extremely weight(<1000g) high, due lack specialized equipped newborn units, thus survival rate still country. This case report an extreme (ELBW) preterm female baby, second twin, delivered at gestational age 23 weeks +5days, with 600g, was successfully managed discharged home after 59 days on admission. highlights that ELBW neonates before viability, can improved even countries( LICs) or middle LMICs) adequate care good nursing care.