National Center for Health Statistics

National Vital Statistics System

36. Abnormal conditions of the newborn

Category: Newborn Information

BC # 54

Definitions, instructions, sources, keywords and abbreviations
Definitions	Disorders or significant morbidity experienced by the newborn.
Instructions	Check all boxes that apply. If none of the conditions apply, check “none of the above.”
Sources	See below
Keywords and Abbreviations	See below

Assisted ventilation required immediately following delivery
Definitions	Infant given manual breaths for any duration with bag and mask or bag and endotracheal tube within the first several minutes from birth. Excludes free-flow (blow-by) oxygen only, laryngoscopy for aspiration of meconium, nasal cannula, and bulb suction.
Instructions
Sources	1st Labor delivery summary under – Infant Data or Breathing
Keywords and Abbreviations	Bag and mask ventilation Intubation Intubation and PPV – Positive pressure ventilation PPV bag/mask or ET – Positive pressure ventilation via bag, mask, or endotracheal intubation IPPV bag – Intermittent positive pressure ventilation via bag IPPV ET – Intermittent positive pressure ventilation via endotracheal intubation O2 via ET – Oxygen via endotracheal intubation Oxygen

Assisted ventilation required for more than six hours
Definitions	Infant given mechanical ventilation (breathing assistance) by any method for more than 6 hours. Includes conventional, high frequency, or continuous positive pressure (CPAP). Excludes free-flow oxygen only, laryngoscopy for aspiration of meconium, and nasal cannula.
Instructions	Count the number of hours of mechanical ventilation given.
Sources	1st Newborn respiratory care flow sheet
Keywords and Abbreviations	If in use for more than 6 hours: CPAP – Continuous positive airway pressure IPPV – Intermittent positive pressure ventilation HFV – High frequency ventilation IMV – Intermittent mandatory volume ventilation HFOV – High frequency oscillatory ventilation IPPV – Intermittent positive pressure ventilation PIP – Peak inspiratory pressure PEEP – Positive end expiratory pressure CMV – Continuous mandatory ventilation HFPPV – High frequency positive pressure ventilation HFFI – High frequency flow interruption ventilation HFJV – High frequency jet ventilation Inhaled nitric oxide

NICU admission
Definitions	Admission into a facility or unit staffed and equipped to provide continuous mechanical ventilatory support for a newborn.
Instructions	Include NICU admission at any time during the infant’s hospital stay following delivery. Do not include units that do not provide continuous mechanical ventilation. Do not include well-baby nurseries or special care nurseries (i.e., Level II nursery). Do not include if the newborn was taken to the NICU for observation but is not admitted to the NICU.
Sources	1st Labor and delivery summary record under – Disposition under – Intensive care nursery (ICN)
Keywords and Abbreviations	ICN – Intensive care nursery NICU – Neonatal intensive care unit PICU – Pediatric intensive care unit

Newborn given surfactant replacement therapy
Definitions	Endotracheal instillation of a surface-active suspension for treating surfactant deficiency due to preterm birth or pulmonary injury resulting in respiratory distress. Includes both artificial and extracted natural surfactant.
Instructions	Check both 1st and 2nd sources before completion.
Sources	1st Labor and delivery summary under – Neonatal medication 2nd Newborn medication administration record
Keywords and Abbreviations	If given to newborn after birth: Medications (given to newborn): Surfactant Survanta Exosurf Curosurf Infasurf

Antibiotics received by the newborn for suspected neonatal sepsis
Definitions	Any antibacterial drug (penicillin, ampicillin, gentamicin, cefotoxine, etc.) given systemically (intravenous or intramuscular). Does not include antibiotics given to infants who are not suspected of having neonatal sepsis.
Instructions
Sources	1st Newborn medication administration record
Keywords and Abbreviations	Medications (given to newborn for sepsis): Nafcillin, Chloramphenicol Penicillin, Penicillin G Ampicillin, Gentamicin, Kanamycin, Cefotaxime, Cefoxitin, Vancomycin, Acyclovir, Amikacin, Ceftazidime, Ceftriaxone, Cefazolin

Seizure or serious neurologic dysfunction
Definitions	Seizure is any involuntary repetitive, convulsive movement or behavior. Serious neurologic dysfunction is severe alteration of alertness. Excludes: Lethargy or hypotonia in the absence of other neurologic findings Symptoms associated with CNS congenital anomalies
Instructions
Sources	1st Newborn H&P 2nd Physician progress notes under – Neuro Exam
Keywords and Abbreviations	Seizures Tonic/Clonic/Clonus Twitching Eye rolling Rhythmic jerking Hypotonia Obtundation Stupor Coma HIE – Hypoxic-ischemic encephalopathy

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Page last reviewed: August 6, 2019

Content source: National Center for Health Statistics