Classification or Types of High Risk Newborn or Neonates

Types or Classification of High Risk Newborn or Neonates

Who are High Risk Newborns or Neonates?

High risk newborns are those who need special attention and close observation because of presence of certain adverse factors. Any baby exposed to any condition that make the survival rate of the neonate at danger. A high risk is define as any neonate when is in danger of serious illness or death as a result of prenatal, perinatal, or neonatal result of prenatal, perinatal, or neonatal conditions, regardless of birth weight or conditions, regardless of birth weight or gestational age.

You can read: Duties and Responsibilities of Midwife for High Risk Newborn

Types or classification of high risk newborn
Fig: Types or classification of high risk newborn

Types or Classification of High Risk Newborn:

1. Classification According To Size:

  • Low-birth-weight (LBW) infantInfant whose birth weight is less than 2500 g (5lbs 8oz), regardless of gestational age.
  • Very low-birth-weight (VLBW) infant- Infant whose birth weight is less than 1500 g (3lbs 5oz).
  • Extremely low-birth-weight (ELBW) infant- Infant whose birth weight is less than 1000 g (2lb 3oz).
  • Appropriate-for-gestational-age (AGA) infant- Infant whose weight falls between the 10th and 90th percentiles on intrauterine growth curves.
  • Small-for-date (SFD) or small-for-gestational-age (SGA) infant- An infant whose rate of intrauterine growth was slowed and whose birth weight falls below the 10th percentile on intrauterine growth curves.
  • Intrauterine growth restriction (IUGR)- Found in infants whose intrauterine o growth is restricted (sometimes used as a more descriptive term for SGA infants).
  • Symmetric IUGR- Growth restriction in which the weight, length, and head h circumference are all affected.
  • Asymmetric IUGR- Growth restriction in which the head circumference remains within normal parameters while the birth weight falls below the 10th percentile.
  • Large-for-gestational-age (LGA) infant- Infant whose birth weight falls above the 90th percentile on intrauterine growth charts.

2. Classification According to Gestational Age:

  • Preterm (premature) infant- Infant born before completion of 37 weeks of gestation, regardless of birth weight.
  • Full-term infant- Infant born between the beginning of the 38 weeks and the completion of the 42 weeks of gestation, regardless of birth weight.
  • Late-preterm infant- Infant born between 34 0/7 and 36 6/7weeks of gestation, regardless of birth weight.
  • Postterm (postmature) infant- Infant born after 42 weeks of gestational age, regardless of birth weight.

3. Classification According to Mortality:

  • Live birth- Birth in which neonate manifests any heartbeat, breathes, or displays voluntary movement, regardless of gestational age.
  • Fetal death- Death of fetus after 20 weeks of gestation and before birth with absence of any signs of life after birth.
  • Neonatal death- Death that occurs in the first 27 days of life; early neonatal death occurs in the first week of life; late neonatal death occurs at 7 to 27 days.
  • Perinatal mortality- Total number of fetal and early neonatal deaths per 1000 live births.

More questions related to this article:

  1. What do you mean by the term high risk neonate?
  2. Define high risk newborn.
  3. Who are high risk babies?
  4. Who are the high-risk babies?
  5. What is the risk of neonate?
  6. Classify high risk newborn?
  7. Write down the classification of high risk newborn.

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