152 6 CHAPTER 6 45. Birth weight <2200 g: 2 46. Birth weight <2000 9: 6 47. Birth weight 2000-2400 g: 1 48. Birth weight 2000-2500 g: 1 49. Birth weight <2300 g: 3 50. Birth weight <2500 g: 3 - Referred to different document: 1 - Non-correspondent: 1 MSAF Obstetric 33 1. Observation color amniotic fluid: 23 2. Observation color amniotic fluid and fetal distress: 1 3. Observation color amniotic fluid and assessment respiratory problems:1 4. Observation color amniotic fluid and observation clinical symptoms/risk factors/AS: 5 5. Observation color amniotic fluid, AS and assessment respiratory problems:1 - Non-correspondent: 2 1. MSAF: 23 2. MSAF and risk factors (abnormal EFM, or thick MSAF, or AS <7 5 minutes pp): 1 3. MSAF and signs of fetal distress: 1 4. MSAF and respiratory problems: 1 5. MSAF and AS 7/8 5 minutes pp: 1 6. MSAF and AS 8 5 minutes pp: 1 7. MSAF and AS <8 5 minutes pp: 1 8. MSAF and AS <7 5 minutes pp: 1 9. MSAF and AS <7 5 minutes pp or respiratory problems: 1 - Non-correspondent: 2 1. During birth directly, pp decided together with the pediatrician: 1 2. Directly pp: 1 3. Directly, decided by the pediatrician: 1 4. <1 hour pp: 2 5. During office hours: 2 6. During daylight: 2 7. During the day and in the evening: 1 8. During the pediatricians’ rounds, or sooner if meconium aspiration is suspected: 1 - Non-correspondent: 1 - Unclear: 1 - Not mentioned: 20 Neonatal 37 1. Abnormal observations according to national protocol: 1 2. Observation color amniotic fluid: 23 3. Observation color amniotic fluid and fetal distress: 2 4. Observation color amniotic fluid and assessment respiratory problems:1 5. Observation color amniotic fluid and observation clinical symptoms/risk factors/AS: 10 8. MSAF: 17 9. Thick MSAF: 3 10. Thin MSAF: 3 11. MSAF and risk factors (abnormal EFM): 2 12. MSAF and signs of fetal distress: 2 13. MSAF and abnormal observations pp: 1 14. MSAF and poor/bad neonatal vitals pp: 2 15. MSAF and respiratory problems pp: 1 16. MSAF and AS 7/8 5 minutes pp: 1 17. MSAF and AS 8 5 minutes pp: 1 18. MSAF and AS ≤8 5 minutes pp: 1 19. MSAF and AS <8 5 minutes pp: 1 20. MSAF and AS <7 5 minutes pp: 2 1. During birth directly, pp decided together with the pediatrician: 1 2. Directly pp: 6 3. <20 minutes pp: 1 4. <1 hour pp: 2 5. Within 8 hours if neonatal assessment is not abnormal, if necessary directly: 1 6. Birth between 09.00-23.00 o’clock <1 hour pp, birth between 23.00 and 09.00 o’clock call at 08.55 o’clock, birth between 23.00 and 2.30 o’clock as soon as possible and if possible at 09.00 o’clock, birth after 02.30 o’clock that the consult should be scheduled for the 11.00 o’clock rounds: 1 7. During office hours: 2 8. During the dayshift: 1 9. During the pediatricians’ rounds: 2 - Unclear: 3 - Not mentioned: 17 VE Obstetric 26 1. Always after VE: 20 2. VE, assessment fetal condition: 2 3. VE, assessment fetal condition and duration expulsion stage : 2 4. Assessment of the difficulty of the VE: 1 5. VE, assessment PEWS and subgaleal hemorrhage: 1 1. Conducting VE: 20 2. Easy VE: 1 3. Difficult VE: 1 4. VE and no abnormal observations: 1 5. VE and signs of fetal distress: 1 6. VE and signs of fetal distress and/or expulsion stage >1.5 hours: 1 7. VE and abnormal PEWS, or suspected subgaleal hemorrhage: 1 1. <1 hour pp: 3 2. <6 hours pp: 1 3. During office hours: 2 4. During the pediatricians’ rounds: 1 5. During pediatricians’ rounds or <17.00 o ‘clock: 1 6. At 09.00 or 14.00 o’clock: 1 - Unclear: 1 - Not mentioned: 16 Neonatal 31 1. Always after VE: 19 2. VE, assessment fetal condition: 3 3. VE, assessment of condition: 1 4. Assessment of the difficulty of the VE: 2 5. Assessment of the difficulty of the VE and assessment neonatal condition: 1 6. VE, assessment fetal condition and duration expulsion stage: 3 6. Conducting VE: 19 7. Easy VE: 1 8. Difficult VE: 1 9. VE and no fetal distress during and/or expulsion stage <1.5 hours: 1 10. VE and no abnormal observations: 1 11. VE and signs of fetal distress: 2 1. Directly pp: 1 2. <1 hour pp: 2 3. During office hours: 2 4. During the pediatricians’ rounds: 2 5. Decided by the pediatrician, during the day if birth is between 17.00- 07.00 o’clock: 1 6. Birth between 09.00-23.00 o’clock <1 hour pp, birth between 23.00 and 09.00 o’clock call at 08.55 otherwise glucose assessment one hour pp en thereafter 3, 6, 12 en 24 hours pp before feeding: 1 - Unclear: 1 18. Birth weight <3th percentile and/or <2500 g: 1d 19. Birth weight <5th percentile : 5 20. Birth weight <5th percentile and/or SGA appearance: 1 21. Birth weight <5th percentile and/or <2000 g: 1` 22. Birth weight <5th percentile but >2000 g: 1 23. Birth weight <10th percentile : 12 24. Birth weight <10th percentile or <2300 g: 1 25. Birth weight <10th percentile or <2500 g: 1 26. Birth weight <1200gg: 1 27. Birth weight <1750gg: 1 28. Birth weight <2000 g: 5 29. Birth weight <2200gg: 3 30. Birth weight <2250gg: 1 31. Birth weight 1200-2200 g: 1 32. Birth weight 2000-2150 g: 1 33. Birth weight 2000-2200 g: 1 34. Birth weight 2200-2500 g: 1 35. Birth weight <2500 g: 1 36. Birth weight <2500 g clear, or SGA characteristics: 1 - Unclear: 2 3. Directly pp, the pediatrician and the obstetrician together decide: 2 4. <1 hour pp: 4 5. During office hours: 4 6. During the pediatricians’ rounds: 1 7. During the pediatricians’ rounds or before 17:00 0 ‘clock: 1 - Unclear: 1 - Not mentioned: 28 Neonatal 68 1. Observation: 1 2. Birth weight: 63 3. Birth weight and glucose assessment 1 hour after feeding 3, 6 and 12 hours pp: 1 4. Birth weight and glucose assessment 1, 3, 6, 9 and 12 hours pp: 1 5. Birth weight and glucose assessment 3, 6, 12, 18 and 24 hours pp: 1 - Referred to different document: 1 23. Birth weight <2.3th percentile : 6 24. Birth weight <2.3th percentile and positive CMV test: 1 25. Birth weight <2.3th percentile or <2500 g: 2 26. Birth weight <2.3th percentile or <10th percentile and <1500 g: 1 27. Birth weight <3th percentile : 5 28. Birth weight <3th percentile and/or <2500 g: 1 29. Birth weight <3th percentile and/or <2000 g and first glucose <2.6 mm/l and symptomatic or <1.6 without symptoms: 1 30. Birth weight <5th percentile : 6 31. Birth weight <5th percentile and >2000 g: 1 32. Birth weight <5th percentile and/or <2000 g: 1 33. Birth weight <5th percentile and/or SGA appearance: 1 34. Birth weight <10th percentile : 14 35. Birth weight <10th percentile but >2400 g: 1 36. Birth weight <10th percentile or 1500-2000 g: 1 37. Birth weight <10th percentile or 2000-2500 g: 1 38. Birth weight <10th percentile and glucose <2 mmol/l: 1 39. Birth weight <10th percentile and glucose <4 hours pp <2.2 mmol/l or >4 hours pp <2.5 mmol/l or >24 hours pp or <3 mmol/l: 1 40. Birth weight <1500 g: 1 41. Birth weight 1500-1999 g: 1 42. Birth weight 1500-2400 g: 1 43. Birth weight <1800 g: 1 44. Birth weight <2100 g: 1 1. Well before birth: 1 2. Just before birth: 1 3. Directly pp: 7 4. Directly pp, the pediatrician and the obstetrician together decide: 2 5. At day time directly, pediatrician decides, at night time the next day during pediatricians’ rounds: 1 6. Urgent, also at night: 1 7. Soon after birth: 1 8. <1 hour pp: 3 9. <6 hour pp: 1 10. During office hours: 4 11. During 09:00 and 23:00 o’clock <1 hour pp, between 23:00 and 09:00 o’clock pediatrician notified at 08:55 o’clock, birth after 02:30 o’clock during pediatricians’ rounds at 11:00 o’clock: 2 12. During the pediatricians’ rounds: 2 - Unclear: 4 - Not mentioned: 38
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