This document defines a high risk newborn as one with a greater chance of morbidity within the first 28 days of life, regardless of birth weight or gestational age. It identifies high risk factors such as low birth weight, multiple births, high birth order, artificial feeding, and infection. The goals of care for high risk newborns are outlined as perinatal prevention, resuscitation, evaluation and management, monitoring, and family centered care. Assessment methods including initial assessment, APGAR scoring, clinical assessment, transitional assessment, behavioral assessment, physical assessment, and reflex assessment are discussed.

1. MISS. KALYANI R. SAUDAGAR

2. DEFINITION
• “High risk newborn can be defined as a newborn, regardless of
birth weight, size or gestational age who has a greater than
average chance of morbidity especially within the first 28 days of
life”.

3. IDENTIFICATION
• Birth weight less than 2.5kg
• Twins
• Birth order 5 and more
• Artificial feeding
• Infection

4. GOALS
• Perinatal prevention
• Resuscitation and stabilization
• Evaluate and manage
• Monitoring and therapeutic modalities
• Family centered care

5. ASSESSMENT
• Initial assessment
• apgar scoring

6. Clinical assessment

7. • Transitional assessmentfirst period of reactivitysecond period of
reactivity
• Behavioral assessment
• Physical assessment
• Reflexes

8. Post mature infant
• Infants born of a gestation that extends beyond 42weeks as
calculated from the mothers last menstrual period.

9. Predisposing factors
• Pregnancy between the age of 15-19 yrs
• Elderly women
• Wrong dates
• Multiple pregnancy
• Fetal anomalies
• Hereditary

10. Clinical manifestation
• Absence of vernix caseosa
• Loose skin and little subcutaneous fat
• Absence of lanugo
• Abundent hair on the head and long nails
• Skin is wrinkles, cracked and peeling
• Umbilical cord is thin

11. Diagnostic evaluation
• History collection
• Fetal movement recording
• Electronic fetal monitoring
• Ultrasonograpy
• Biophysical profile
• Doppler flow study

12. management

14. Thank
you