Mother/pregnancy |
|
Toxic habits |
Smoking |
Reproductive/Gynecological |
Fertilization treatments, previous preterm births |
Medical condition |
Diabetes mellitus, hypertension |
|
Intrapartum |
|
Amniorrhexis |
Prelabor rupture of membranes. |
Pre-eclampsia |
Hypertension, proteinuria, and edema after the 20th week of gestation |
Mode of delivery |
Normal vaginal, cesarean, emergency cesarean, elective cesarean |
Fetal presentation |
Unknown, cephalic, podalic, bottom, transverse |
|
Neonatal |
|
Gestational age (weeks) |
Positive ultrasonography, last menstrual period, clinical assessments |
Apgar scores at 1′ and 5′ |
Scores from 1 to 2 of Appearance, Pulse, Grimace, Activity, Respiration |
|
Respiratory |
|
Respiratory distress |
Bronchopulmonary dysplasia, oxygen dependency, apnea, hyaline membrane disease |
Bradycardia |
Heart rate <100 l pm |
Pulmonary hemorrhage |
Positive bronquial aspiration for blood and respiratory deterioration |
Pulmonary hypertension |
Superior right limb and left inferior limb gradient in oxygen saturation >5% + hypoxemic trend |
Pneumothorax |
Thorax x-ray confirmation of air in pleural space |
Asphyxia |
Metabolic acidosis in umbilical cord pH + neonatal encephalopathy + background of alterations in cardiotocographic fetal exploration |
|
Cardiac hemodynamic |
|
Systolic murmur |
Positive auscultation for heart murmur |
Patent ductus arteriosus
|
Sistolc murmur + tensional gradient + bounding pulses and respiratory deterioration. Arterial flow between aorta and pulmonary artery shown via bidimensional echocardiography |
Hypertension |
Systolic pressure higher than percentile 90 Hg for gestational age |
Hypotension |
Mean arterial blood pressure lower than the gestational age during the first 3 days |
Jaundice of prematurity |
Increased bilirubinemia over birth weight expressed in g/100 |
Anemia |
Level of hemoglobin in blood count <12 g/dl |
Thrombocytopenia |
Level of platelets <100.000/mm3 |
Coagulopathy |
Altered of activated partial thromboplastine time or prothrombine time |
|
Ultrasound brain abnormalities |
|
Periventricular leukomalacia |
Unilateral/bilateral hypo-echogenicity areas in brain parenquima adjacent to lateral boundaries of the ventricular system. |
IV hemorrhage |
Unilateral/bilateral abnormally extensive hypo-echogenicity areas in the ventricular system |
Hydrocephalus |
Symmetric bilateral increased size of the ventricular system |
Microcephaly |
<Percentile 10 |
|
Neurological |
|
Cerebral palsy |
Chronic disability of central nervous system origin characterized by aberrant control of movement and posture, appearing early in life |
Severe mental retardation |
Severely retarded individuals have IQ scores of <40 |
Seizures/Epilepsy |
Presence of convulsive movements with or without electroencephalography correlation |
Tetraplegia, diplegia |
Paralysis affecting the four limbs, paralysis affecting symmetrical parts of the body |
|
Inflammatory |
|
Sepsis |
Clinically, symptoms and alterations from laboratory results compatibles with infection with negative cultures. Confirmed, symptoms of infection + blood culture or urine culture and/or positive cerebrospinal fluid |
Necrotizing enterocolitis |
Digestive tolerance alteration necrotizing enterocolitis type II or higher |
Otitis |
Otic pain + positive symptom with compatible eardrum exploration |
Conjunctivitis |
Presence of conjunctival pus drainage |
|
Ophthalmic |
|
Retinopathy of prematurity |
Defined according to the criteria established by the Committee for the Classification of Retinopathy of Prematurity (The International Classification of Retinopathy of Prematurity| Neonatology | JAMA Ophthalmology | The JAMA Network) |
|
Medical treatments |
|
Red blood cell transfusion |
Hemoglobin level below 10 g/dL or hematocrit falls below 25% |
Oxygen therapy |
Oxygen is applied up to get saturations of 90–95% in pulse oxymetry |
Mechanical ventilation |
Mechanically assist or replace spontaneous breathing |
Surgery |
Any surgery during hospitalization |