Page 10 - WBC -toolkit
P. 10
WELL BABY CLINIC SEGMENTATION
RISK FACTOR GROUP A RISK FACTOR GROUP C RISK FACTOR GROUP B
NORMAL WELL BABY FOR 1Working mother 1 birth trauma ( anoxia , convulsions) 1 low birth weight LBW <2.5 kg but
ROTTEN VISIT 2 Poor family 2 handicapped child (mental/ gestational age is >37 week
3 death of either of the parent or physical )
Normal baby (well baby or low-risk) divorce 3 bronchial asthma 2 premature child <37 weeks
• Born at term 4 bottle feeding ( absence of breast 4 congenital heart disease OR other irrespective of weight
• Weight appropriate for gestational age and feeding) congenital defects.
not wasted 5 mental OR psychiatric disease in 5 juvenile DM 3 weight equal or below 5% of
• The history of the pregnancy, labor, delivery either of the parent 6 diseases of CNS & other like expected weight for his age
and the post delivery period are normal. cerebral palsy & mongolism
• The vital signs are normal and the infant 6 twins 7 red flag of eyes 4 weight equal or above 95% of
appears normal on examination. 7 close spacing ( less than 2 years 8 red flag of ears expected weight for his age
) 9 developmental red flag
HISTORY OF DELIVERY 8 early weaning ( before completion 10 hereditary blood disease like sickle 5 failure to thrive ( no increase in
of 6 months ) cell disease , thalassemia& others weight for last three successive visits) ,
• Low Apgar score at the fifth minute. 9 precious baby (along awaited 11 hypothyroidism even if his health condition is good
•Longer hospital stay after C.S or pregnancy after a period of infertility) 12 renal disorders
complications due to NICU stay. 10 a child not vaccinated 13 child abuse 6 If the growth curve (weight ) is
•Infants who are born to mothers with a 11 large family (more than 7 14 leukemia going down for last 2 successive visits).
complicated pregnancy, labour or delivery individuals ) 15 multifactor (if is more than one risk Even if his health condition is good
12 multifactor ( if there is more than factor)
one risk factor ) 7 those children who do not have 1/2
kg increase per month for the first 3
months of age & 1/4 kg increase in
weight per month for the 2nd 3months
age.
8 multifactor ( if there is more than one
risk factor.
8
