42, 43, 44, 48, 49 PEADS Neonate Entry

Neonate Entry Plan

PLAN

  1. Admit _____* 
  2. Encourage breastfeed**
  3. W/out for feeding intolerance
  4. –Insert addition plan from HO Keynotes’ based on baby’s dx (eg: SGA, post LSCS, mother with GBS, etc.)–
*Admit to SCN
  • Post resus care
  • Hypoglycemia
  • Fever
  • Vomiting
  • Syndromic baby
  • SGA < 2.3kg (after D/W MO)
  • Preterm 35-36W
  • Placenta abruption
  • Bleeding PP
  • Mother on high dose S/C Insulin
  • Mother on IVI MgSO4
*ADMIT TO NICU
  • Intubated / CPAP / Nasal prong oxygen
  • Post resus meconium
  • SGA < 1.8kg
  • Syndromic baby with other abnormalities
  • Preterm < 35w
  • Post tracheal suction
*Admit to postnatal ward with duration of observation
  • MSAF – no meconium stain over nail – 12H
  • MSAF – with meconium stain over nail – 24H
  • Fetal distress – 24H
  • Vacuum delivery – 24H
  • LGA – 36H
  • SGA – 48H
  • Risk of sepsis – 48H
  • Mother GDM on low dose insulin – 48H
  • Mother GDM on diet control – 36H
  • Delivery under GA – 36H
  • Delivery under pethidine – 6H 

INDICATION FOR ADMISSION DIFFER FROM EACH HOSPITAL SETTINGS. WHEN IN DOUBT, PLEASE REFER TO YOUR SENIORS / HOSPITAL GUIDELINES FOR ADMISION

** For cup feeding if unable to established feeding with mother (eg:  isolated from mother)

  • Cup feeding are based on TFI requirement / day
This act as guidance for feeding, please refer to each hosp protocols to avoid confusion. Peads protocol 4th edition suggest general increment of TFI 20-30 ml/kg/day
Types of Feeding
  • Term – TM20K
  • Preterm – P20K, P24K, P27K
  • Special – Neosure (22K, 24K)
  • Express Breast Milk
Weight gain / loss