Newborns are evaluated in the delivery room immediately after birth to assure that they do not require respiratory or circulatory support, have no birth-related trauma or congenital anomalies requiring immediate intervention, and are transitioning as expected to extrauterine life.
Assess neonate's clinical status: Gestational age, muscle tone, and respiratory effort by the APGAR SCORE
The Apgar score is a measure of a baby’s condition after birth.
It is used to check a newborn baby born at 1 minute and 5 minutes after their birth1.
The score is a quick way to determine whether a baby needs immediate treatment or monitoring12
. It was developed in 1952 by Dr Virginia Apgar, an anesthesiologist at Columbia University2.
High-risk infants are identified.
01. Gestational Age Less than 35 weeks
02. Gestational Age Greater than 35 weeks
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Infants are classified according to gestational age, birth weight, and growth status.
extremely preterm: ≤28 weeks
preterm: 28 weeks to <34 weeks
late preterm: 34 weeks to <37 weeks
early term: ≥37 weeks to <38 weeks
term: ≥39 weeks to <42 weeks
post-term: ≥42 weeks
extremely low birth weight (ELBW): <1000 grams
very low birth weight (VLBW): 1000 to <1500 grams
low birth weight (LBW): 1500 to <2500 grams
small for gestational age (SGA): <10th percentile for gestational age
appropriate for gestational age (AGA): 10th to <90th percentile for gestational age
large for gestational age (LGA): ≥90th percentile for gestational age