Newborn
- When examining a newborn, systematically look for subtle congenital anomalies (e.g., ear abnormalities, sacral dimple) as they may be associated with other anomalies and genetic syndromes.
- In a newborn, where a concern has been raised by a caregiver (parent, nurse),
- Think about sepsis, and
- Look for signs of sepsis, as the presentation can be subtle (i.e. not the same as in adults, non-specific, feeding difficulties, respiratory changes)
- Make a provisional diagnosis of sepsis.
- Resuscitate newborns according to current guidelines
- Maintain neonatal resuscitation skills if appropriate for your practice.
- When a parent elects to bottle feed, support their decision in a non-judgemental manner.
- In caring for a newborn ensure repeat evaluations for abnormalities that may become apparent over time (e.g., hips, heart, hearing).
- When discharging a newborn from hospital,
- Advise parent(s) of warning signs of serious or impending illness, and
- Develop a plan with them to access appropriate care should a concern arise.
History
History
- Pregnancy/Prenatal care
- Planned/Expected
- Routine tests (Blood type, antibody)
- Maternal infection screening (Gono/chlam, syphilis, HIV, HBV/HCV)
- Hypertension, Diabetes
- GBS
- Genetic screening
- Labour
- ROM duration
- Meconium
- Delivery
- APGAR, resuscitation
- Previous OB history
- Family history
Physical Exam
Physical Exam
- General appearance
- Colour
- Tone/position
- Cry
- Respiratory effort
- RR, nasal flaring, accessory muscle use, indrawing, grunting
- Vital signs (O2 saturation prior to discharge r/o congenital heart disease)
- HR 120-160, RR 40-60, sBP 60-90, T36.5-37.5
- Measurements (for 40w gestation)
- Length (51cm +/-3cm)
- Weight (3.5kg +/-0.6kg)
- Head circumference (35cm +/-2cm)
- HEENT
- Head
- Fontanelles
- Sutures r/o craniosynostosis
- Swelling
- Caput succedaneum/edema (resolves within 48h)
- Cephalohematoma (limited by suture lines, resolves within months)
- Subgaleal hemorrhage (not limited by suture lines, due to repeated vaccuum/coagulopathy, close observation r/o hemorrhagic shock)
- Encephalocele/meningocele (midline)
- Ear abnormalities
- Pitting, tags
- Dysplasia/malformed ears
- Helix should be along outer cantus of eye r/o low set ears
- Hearing screen
- Eyes
- Pupil, iris, sclera, eyelid
- Palpebral fissures
- Red reflex r/o retinoblastoma
- Conjunctivitis
- Chemical (mild, first 24h after eye prophylaxis)
- Gonorrheal (severe, day 2-7)
- Cefotaxime 100mg/kg IV/IM x 1
- Chlamydial (day 5-14d)
- Erythromycin PO 50mg/kg divided QID x 2w
- HSV (vesicles elsewhere)
- Acyclovir 45mg/kg/day IV + Topical acyclovir 3% ointment 5x/d x 14-21d
- Facial nerve palsies
- Mouth r/o cleft lip/palate
- Neck r/o mass/cyst
- Head
- Heart
- Murmur
- Pathological:
- Grade III+
- Single second heart sound (cyanotic heart disease)
- Holosystolic, continuous, harsh
- Diastolic murmur
- Pathological:
- Cap refill
- Femoral pulses
- Decrease femoral pulses (aortic stenosis)
- Bounding pulses (PDA)
- Hepatomegaly
- Pulse oximetry ≥ 95% right hand/foot (r/o congenital heart disease)
- Murmur
- Lungs
- Abdo
- r/o organomegaly
- r/o abdominal wall defect
- omphalocele (sac covering defect) or gastroschisis
- r/o inguinal hernia
- Hips r/o developmental dysplasia of the hip until 1yo or walking
- 4-6 weeks
- Hip instability
- Barlow (adduct, force posteriorly)
- Ortolani (abduct, force anterior)
- Hip instability
- Late signs
- Limited abduction
- Short leg (assymetry)
- Galeazzi (knee level while flexed)
- Asymmetric thigh folds
- Risk:
- Frank breech, family history, female, low fluid (oligohydramnios), first born
- Abnormal exam
- Consider ultrasound (static and dynamic imaging) for <6 months, X-ray (AP) >6 months old
- Consider referral to orthopedics for abnormal exam or imaging
- 4-6 weeks
- Genitalia
- r/o ambiguous genitalia (pituitary/adrenal)
- Testes descent
- Anus (imperforate anus)
- Neuro
- Midline nevus/lipoma, Sacral dimple r/o neural tube defect (spina bifida, encephalocele)
- Tone
- Movement
- Brachial plexus injury
- C5-7 (Erb-Duchenne), waiter's tip
- C8-T1 (Klumpke's), claw-hand
- Brachial plexus injury
- Primitive Reflexes
- Moro reflex, Grasp reflex, ATNR (Fencing) reflex, Galant reflex, Rooting reflex, Stepping reflex, Parachute reflex
- Disappear by 3-6 months old
- Babinski reflex usually disappears by 1-2 years old
- Moro reflex, Grasp reflex, ATNR (Fencing) reflex, Galant reflex, Rooting reflex, Stepping reflex, Parachute reflex
- Hands/feet (digits, absent radius, movement)
- Skin
- Jaundice
- Cyanosis
- Nevus flammeus (port-wine stain)
- r/o Sturge-Weber (over trigeminal nerve)
- Hemangioma
- Cafe-au-lait r/o McCune-Albright syndrome
Rule out associated anomalies
Rule out associated anomalies
- VACTERL
- Vertebral defects, anal atresia, cardiac defects, tracheo-esophageal fistula, renal anomalies, and limb abnormalities
- CHARGE
- Coloboma of the eye, heart defects, choanal atresia, retraction of growth and/or development, genital and/or urinary abnormalities, and ear abnormalities and deafness
- Down Syndrome
- Flat facial profile, slanted palpebral fissures, anomalous (low-set, dysplastic) ears, hypotonia, poor Moro reflex, dysplasia of midphalanx of fifth finger, transverse palmar (Simian) crease, excessive skin at nape of the neck, hyperflexibility of joints, dysplasia of pelvis
- Fetal Alcohol Spectrum Disorder (FASD)
- Short palpebral fissures, thin vermillion border, and smooth philtrum, microcephaly
Treatment at birth
Treatment at birth
- 0.5% erythromycin ointment (1cm ribbon in each eye)
- Vitamin K 0.5mg IM
- Universal hearing screen
- r/o Hyperbilirubinemia (transcutaneous screen in first 24h)
- r/o Hypoglycemia (preterm, postterm, diabetic mothers, LGA)
- HBV vaccination, immunoglobulin as indicated
Criteria for discharge
Criteria for discharge
- Normal stable vital signs x 12 hours
- Urination, stooling
- Two successful feedings
- No physical abnormalities requiring continued care
- No excessive bleeding
Discharge from hospital instructions
Discharge from hospital instructions
- Return to hospital if signs of
- Infection r/o sepsis
- Fever <3 months old
- Decreased alertness (somnolence)
- Irritability unable to console
- Vomiting
- Skin Changes (eg, jaundice, cyanosis)
- Dehydration
- Poor feeding
- Weight loss or poor weight gain
- <3 wet diapers per day or no urinary output x 7h
- Decreased tears
- Breathing problems
- Rapid breathing (>60/min)
- Apnea
- Using neck, chest, abdo muscle to breathe
- Wheezing/noise breathing
- Any other concern
- Infection r/o sepsis
- Weight
- May lose up to 10% within the first few days, but return back to birthweight at 14 days
- Should gain 20-30g/d for first month
- May lose up to 10% within the first few days, but return back to birthweight at 14 days
- Feedings
- Avoid juices/water until solid foods (usually 4-6 months of age)
- No honey until 1yo
- Feed on demand, max q3-4h
- Formula
- Avoid heated in microwave (burn risk)
- Breastfeeding
- Technique
- Consult physician before taking new medication
- Vitamin D 400 units daily if breastfeeding
- Urination
- Six+ wet diapers per day
- Umbilical cord should fall off by 2w
- Regular cleaning and dry
- Watch for signs of infection (red, purulence)
- Prevention of SIDS
- Back to sleep, same room, different bed
- Smoking cessation
- Car seat
- Back seat, rear-facing
- Follow-up (eg. 48-72h)
Sepsis
Sepsis
Signs and Symptoms of Sepsis
Signs and Symptoms of Sepsis
- Respiratory distress, respitory failure
- Hypotension, poor perfusion
- Tachycardia
- Temperature instability
- Lethargy, hypotonia
- Apnea
- Feeding intolerance
Risk factors for Sepsis
Risk factors for Sepsis
Early-onset (Mother's GU: GBS, Ecoli, Coag-neg Staph, H influenzae, L monocytogenes)
- Intrapartum maternal fever ≥38°C
- Maternal chorioamnionitis (maternal fever, leukocytosis, maternal/fetal tachycardia, uterine tenderness, foul odour of amniotic fluid)
- Maternal GBS colonization
- Inadequate GBS antibiotic prophylaxis (eg. <4h prior to delivery)
- Prolonged ROM ≥ 18h
- Premature, LBW, Congenital anomalies, low APGAR (≤6)
Late-onset 4-90d (Caregiving environment: Coag-neg Staph, S aureus, E coli, Klebsiella, Pseudomonas, Enterobacter, Candida, GBS, Serratia, Actineobacter, Anaerobes)
- Poor hygiene
- Low gestational age, LBW
- Indwelling central venous/umbilical catheter
- Ventilator treatment
See shock for management
Hypoglycemia
Hypoglycemia
- Gluc <3.3 mmol/L (note that before 48h of life, may be normal to have lower glucose if not symptomatic)
- Symptoms
- Lethargy, hypotonic
- Jitter/tremors
- Diaphoresis
- Tachypnea or apnea
- Hypothermia
- Seizures
- Poor suck/feedings
References:
- Newborn exam
- AAFP 2014. https://www.aafp.org/afp/2014/0901/p289.html
- AAFP 2014. https://www.aafp.org/afp/2014/0901/p297.html
- Discharge
- AAFP 2006. https://www.aafp.org/afp/2006/0301/p849.html