An infant is considered a “small baby” if they:
- Were born between 22 weeks, 0 days and 31 weeks, 6 days of gestation or
- Had a birth weight between 401-1,500 grams
All small babies are eligible for entry into the NICU Database, regardless of whether they were born at your hospital (“inborn”) or were born at a different hospital (“outborn”) but were acutely transferred to your hospital for care by any service (not just the NICU), as long as the transfer occurred before the baby’s 28th day of life.
Several factors determine whether “big babies,” or those with birth weights greater than 1,500 grams and born at 32 weeks of gestation or greater, are eligible for entry into the database. They must either have been born at your hospital or have been transferred in within 28 days of their birth. In addition, they must have been admitted into the NICU or cared for by the NICU service team and meet one of the following criteria:
- Acute transport into your NICU
- Acute transport out of your NICU
- Nasal IMV/SIMV (or any other form of non-intubated assisted ventilation) for greater than four continuous hours
- Intubated assisted ventilation for greater than four continuous hours
- Early bacterial sepsis
- Major surgery requiring anesthesia
- Previously discharged home and then readmitted for a total serum bilirubin of greater than or equal to 25 mg/dl (427 micromols/liter) and/or exchange transfusion. Babies readmitted for hyperbilirubinemia are eligible whether they are readmitted directly to the NICU or elsewhere in the hospital.
- Suspected encephalopathy or perinatal asphyxia
- Active therapeutic hypothermia
- Seizures (Babies born in 2019 or later)
Confused? Please download the attached PDF flowchart to use as a resource.
The information above as well as a live flow chart can be found here.