Table 1: 10-point criteria for hypoxic ischemic encephalopathy used in the training program.

 

HIE should be considered if:

Term or near term infant (> 8 completed months of pregnancy) at birth was born in 2 out of the 3 situations (below):

1.    did not cry

2.    required help (resuscitation)

3.    continued to require help at 10 minutes of life

      AND exhibited 4 out of the following 7 criteria at assessment in the first 6-12 hours of life:

4.    Abnormal conscious state (Hyperalert, drowsy, depressed or unconscious)           

5.    Abnormal tone (Increased, decreased)         

6.    Abnormal posture (Floppy, hyperextended)

7.    Abnormal suck (Weak, absent with poor feeding)

8.    Abnormal grasp (Weak, absent)

9.    Abnormal breathing (Increased respiratory rate, laboured, apnoeic)

10.  Abnormal movements (Excessive jitteriness, convulsions)