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. Author manuscript; available in PMC: 2015 May 7.
Published in final edited form as: J Obstet Gynecol Neonatal Nurs. 2009 Jul-Aug;38(4):491–503. doi: 10.1111/j.1552-6909.2009.01047.x

Table 2.

Infant Code Definitions

Infant muscle tone
 Regulated tone Partially contracted state of the limbs, flexion, midline positioning
 Dysregulated tone Hypotonic or hypertonic muscle tone, tremors, flailing, startle, finger splaying
 Unable tone Unable to determine infant tone. Infant may be swaddled and arms and legs cannot be seen and infant face may not be visible to determine tone in cheeks.
Infant physiologic indices
 Regulated physiology Pink with patterned breathing
 Unregulated physiology Dysregulated breathing, includes signs of nonhomeostatic autonomic functioning, including pallor, grunting, or use of accessory muscles for breathing
 Unable physiology Unable to determine infant breathing or color
Infant behavior
 Regulated behavior Infant feeding smoothly; not pulling away from bottle or mother; turns to bottle, opens mouth with tongue down
 Dysregulated behavior A change in behavior including averting, pulling/turning away/resisting, body language, including closed/fisted hands in the context of signs of disorganization; has the quality of the infant attempting to protect him/herself
 Unable behavior Unable to determine if infant’s behavior is regulated or not; infant’s hands may be swaddled and not visible; unable to determine if infant is pulling away from mom
Infant emotional
 Regulated emotional Infant’s face is relaxed
 Dysregulated emotional Facial expressions, including raised eyebrows, frowning, grimacing, crying
 Unable emotional Unable to see infant’s face to determine regulation
Sucking/swallowing
 Regulated sucking Actively sucking and swallowing
 Dysregulated swallow Infant is coughing, choking, or multiple swallowing
 Not sucking Not sucking
 Unable to determine Unable to determine if infant is sucking
Dribbling
 Dribbling Formula is seen escaping from infant’s mouth
 Not dribbling Formula cannot be seen escaping from infant’s mouth
 Unable to determine Cannot determine if formula is escaping from infant’s mouth
Indices of arousal
 Open/half-lidded Infant’s eyes are open, half open
 Closed Infant’s eyes are closed
 Unable to determine Unable to see infant’s face