Record a newborn

Each baby has their own patient record and a newborn record linked to the delivery. The newborn record holds birth measurements, APGAR scores and the first-hours care.

Create a newborn record

1. 1Register the baby as a patient (Patients → Registry → New).
2. 2Open Paediatrics → Newborn Records and select New.
3. 3Choose the Baby and the Mother. Enter Birth At, Plurality, Gestational Age in weeks and days, Delivery Mode and Presentation.
4. 4Enter Birth Weight G, Length Cm and Head Circumference Cm. The weight category and gestation category are calculated.
5. 5Score the five APGAR components at 1 minute and at 5 minutes. The totals and APGAR class are calculated. A 5-minute APGAR below 7 requires the 10-minute score.
6. 6Record Resuscitation Needed, Vitamin K Given, Skin-to-skin Contact, Breastfeeding Initiated, and whether the metabolic, hearing and critical congenital heart disease screens were done. Note any Congenital Anomalies.
7. 7Link the record to the delivery and select Finalise.

Rules

• Birth weight must be between 300 and 7000 g, and gestational age between 20 and 45 weeks plus 0 to 6 days.
• Both sets of APGAR components must be complete before finalising.
• A finalised record is signed. Only notes can be added afterwards, and it cannot be deleted.

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