This document provides guidance on approaching very low birth weight infants. It defines low birth weight as under 2500g and very low birth weight as under 1500g. Causes of low birth weight include preterm birth and intrauterine growth restriction from medical issues in the mother or placenta, as well as social factors. Very low birth weight infants face risks like hypothermia, hypoglycemia, and infections. Their management involves careful monitoring, thermoregulation, infection control, nutrition support, and screening for complications like retinopathy of prematurity. Both hospital care and home care focus on supporting growth and development through frequent feeding and supplementation. Prevention strategies target improving maternal nutrition, anemia treatment, infection control, and family