High Risk Neonatal OPD
Appropriate follow up of high risk newborn, which improve survival of infants who are at risk for long term morbidities. Such as developmental delay, visual/hearing problems, growth failure etc. Regular follow up at high risk OPDs would help in early detection of these problems. Thus paving way for early interventions for your child.
High risk neonate, who need follow up:
- Babies with <1800g birth weight and/or gestation <35 weeks
- Small for data (<3rd centile) and large for date (>97th centile)
- Perinatal asphyxia – Apgar Score 3 or less at 5 min and/or hypoxic ischemic encephalopathy
- Mechanical ventilation for more than 24 hours
- Metabolic Problems-Symptomatic hypolycemia and hypocalcemia.
- Seizures.
- Infection – megningitis and/or culture positive sepsis
- Shock requiring inotropic/Vasopressor support
- Major morbidities such as chronic lung disease, intraventricular hemorrhage and periventricular leucomalacia
- Infants born to HIV – positive mothers.
- Twin with intrauterine death of co-twin
- Hyperillirubinemia > 20mg/dL or requirement of exchange transfusion
- Rh hemolytic diseases of newborn
- Major Malformations
- Inborn error of metabolism / other genetic disorders
- Abnormal neurological examination at discharge