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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 Â°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 Â°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 Â°F or higher by the field worker

Other

Referred for other reasons not specified above