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Table 1 Definitions for Cause-Specific Referral for Care During the Neonatal Period

From: Sex differences in morbidity and care-seeking during the neonatal period in rural southern Nepal

Reason for Referral Definition
Unconsciousness Loss of consciousness observed by field worker or reported by the newborn’s mother
Fever Temperature of newborn measured at 101 °F or higher by field worker
Pneumonia Rapid breathing (60 breaths/min) AND Fever >101 °F OR Severe chest indrawing observed by the field worker
Convulsions/Stiffness Convulsions and/or Stiffness of the back observed by field worker, or reported by the newborn’s mother.
Yellow Body/Eyes Newborn’s body or eyes appeared yellow in color
Persistent Watery Stool Mother reported that the newborn had loose/watery stools
Blood in Stool Any blood in the stool reported by the mother or observed by field worker
Hypothermia Temperature of newborn measured at 96 °F or lower by field worker, OR newborn felt cold to touch
Severe Skin Infection Field worker observed many pustules or blisters, OR one or more large areas of redness/pus
Cord Infection Level I Field worker observed moderate or severe redness that extended from the umbilicus to the skin OR moderate or severe swelling that extended from the umbilicus to the skin
Cord Infection Level II Field worker observed pus coming from the umbilicus AND redness AND swelling of any grade
Any Two in List:  
1) Difficulty Breathing 1) Mother reported or field worker observed that the newborn had difficulty drawing breath in the previous 24 h
2) Vomiting 2) Mother reported that newborn vomited more than half his/her feed
3) Difficulty Feeding 3) Mother reported that the newborn had difficulty feeding or sucking
4) Fever 4) Temperature of newborn measured at 100 °F or higher by the field worker
Other Referred for other reasons not specified above