A. Terms
1. Live birth: Live birth is the complete extraction of a product
of conception from its mother irrespective of the duration of pregnancy, which
breaths or shows any other sign of life after separation.
2. Still birth: Delivery of a fetus after 28 weeks of pregnancy
which shows no sign of life.
3. Perinatal period: From 28 weeks of pregnancy to first 7
completed days of life.
4. Neonatal period: First 28 days of life.
5. Infant death (mortality): Death of newborn within 28
days of life.
6. Neonatal death (mortality): Death of newborn within 28 days of
life.
7. Perinatal death (mortality): Death of a fetus after 28 weeks of
gestation till 1 week of life.
8. Post-neonatal death
(mortality): Death of a newborn after the neonatal period but before reaching
the age of one year.
B.LEVELS OF NEONATAL CARE
1. LEVEL 1 CARE
* Newness weighing above 2000gm or having a gestational maturity
of 37 weeks or more belong to this category.
* The care can be given at hope, sub-Centre, and
primary health center levels.
* Basic care at birth, provision of warmth, maintenance of asepsis
and promotion of breastfeeding form the mainstay of level 1 care.
2. LEVEL 2 CARE
* Care of infants weighing between 1500-1800gm or having
gestational maturity of 32-36 weeks need specialized neonatal care supervised
by trained nurses and pediatricians:
* Equipment for resuscitation, maintenance of thermoneutral
environment, intravenous infusion, gavage feeding, phototherapy and exchange
blood transfusion should be provided in level 2 care.
3. LEVEL 3 CARE
* This is intensive neonatal care required for critically ill
babies and for those weighing less than 1500gm or those born before 32 weeks of
gestation.
* Perinatal centers with round the clock facilities for monitoring
and having life support systems like ventilators etc. are best suited to
provide intensive neonatal care.
0 comments:
Post a Comment