Scribd
Upload
40 views10 pages

Common Neonatal Nomenclatures, Classification and Characteristics of

This document defines various neonatal terms and classifications and describes the characteristics of a normal term neonate and high-risk neonate. It defines terms like neonatal period, perinatal period, live birth, and stillbirth. It classifies neonates based on birth weight, gestational age, and intrauterine growth. A normal term neonate is defined as having a birth weight between 2500-4000g and a gestation of 37 weeks or more with no complications. A high-risk neonate exhibits features like low birth weight, mild hypothermia, delayed crying, poor sucking, depressed sensorium, fast breathing rate, or jaundice.

Uploaded by

Ayan Ahmed
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
40 views10 pages

Common Neonatal Nomenclatures, Classification and Characteristics of

This document defines various neonatal terms and classifications and describes the characteristics of a normal term neonate and high-risk neonate. It defines terms like neonatal period, perinatal period, live birth, and stillbirth. It classifies neonates based on birth weight, gestational age, and intrauterine growth. A normal term neonate is defined as having a birth weight between 2500-4000g and a gestation of 37 weeks or more with no complications. A high-risk neonate exhibits features like low birth weight, mild hypothermia, delayed crying, poor sucking, depressed sensorium, fast breathing rate, or jaundice.

Uploaded by

Ayan Ahmed
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
You are on page 1/ 10

COMMON NEONATAL

NOMENCLATURES, CLASSIFICATION
AND CHARACTERISTICS OF A
NORMAL TERM NEONATE AND HIGH-
RISK NEONATE

PRESENTED BY : ROLL NO.- 68,69,70


DEFINITIONS

• NEONATAL PERIOD : It refers to the period of less than 28


days after birth. Early neonatal period refers to the period
before 7 days of age. Late neonatal period refers to the period
from completion of 7 days up to 28 days of life.

• PERINATAL PERIOD : Commences from 22 weeks (154


days) of gestation (the time when the birth weight is 500 g),
and ends at 7 completed days after birth.
• Live birth : A product of conception, irrespective of weight or
gestational age, that, after separation from the mother, shows
any evidence of life such as breathing, heart-beat, pulsation of
umbilical cord or definite movement of voluntary muscles.

• Still-birth : Fetal death at a gestational age of 22 weeks or


more or weighing more than 500 g at birth.
CLASSIFICATION OF NEONATE
ACCORDING TO BIRTH WEIGHT
• BIRTH WEIGHT - Birth weight is the first weight (recorded in grams) of a
live or dead product of conception, taken after complete expulsion or
extraction from its mother. This weight should be measured within 24
hours of birth; preferably within its first hour of live itself before
significant postnatal weight loss has occurred.

• LOW BIRTH WEIGHT (LBW) - Birth weight of less than 2500 gm


• VERY LOW BIRTH WEIGHT (VLBW) - Birth weight of less than 1500
gm
• EXTREMEY LOW BIRTH WEIGHT (ELBW) - Birth weight of less than
1000 gm
CLASSIFICATION OF NEONATE
ACCORDING TO PERIOD OF GESTATION

• GESTATIONAL AGE (best estimate) - The duration of


gestation is measured from the first day of the last normal
menstrual period. Gestational age is expressed in completed
days or completed weeks.

• PRETERM - Gestational age of less than 37 completed weeks


(i.e. less than 259 days)
• TERM - Gestational age of 37 to less than 42 completed
weeks (i.e. 259 to 293 days)
• POST TERM - Gestational age of 42 completed weeks or
more (i.e. 294 days or more).
CLASSIFICATION OF NEONATE ACCORDING
TO INTRAUTERINE GROWTH PERCENTILES
DEFINITIONS

• Neonatal mortality rate (NMR) - Deaths of infants under the


first 28 days of life per 1000 live births per year.

• Perinatal mortality ratio (PNMR). Number of perinatal deaths


(stillbirths plus neonatal deaths before 7 days of life) per 1000
live births. It is designated as a ratio since the numerator is not
part of the denominator. (For rate, like in NMR, numerator is
part of denominator.)
NORMAL TERM NEONATE

• Normal neonate for the purpose of this protocol has been defined as:
• Birth weight of 2500 g or more and gestation of 37 weeks or
• more
• No major malformations or birth trauma
• Birth weight between 10th to 90th percentile as per AIMS intrauterine
growthcharts'
• Absence of maternal illness or intrapartum event that may put a
neonate at risk of illness (e.g, gestational diabetes, antepartum
hemorrhageetc)
• Normal Apgar scores; no need for resuscitation at birth
• No postnatal illness such as respiratory distress, sepsis,
dyselectrolytemia, hypoglycemia or polycythemia
HIGH RISK NEONATE

An 'at-risk' neonate has one or more of the following features:

• Weight 1500-2499g
• Temperature (axillary) 36.0°C-36.4°C
• Babies with moderate or severe hypothermia who respond to warming
• Cried late (>1min) but within 5 minutes of birth
• Sucking poor, but not absent
• Depressed sensorium, but is arousable
• Respiratory rate of over 60 per minute, but no chest retractions
• Jaundice present, but no staining of palms/soles
• Presence of any one of the following:
• Diarrhea or vomiting or abdominal distension
Umbilicus draining pus or pustules on skin
• Fever
Thank You

You might also like