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Obstetrics and Gynecology

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Neonatal Early-Onset Sepsis Calculator

Calculates neonatal early-onset sepsis risk based on maternal intrapartum risk factors.

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*Use: Predicts early-onset sepsis risk in newborns born at >=34 weeks gestation. Small differences in rounding may produce minimal variation compared with other calculators.

Clinical exam definitions

Well-appearing: no persistent physiologic abnormalities.

Equivocal: one physiologic abnormality present for >=4 hours, or at least two abnormalities present for >=2 hours: tachycardia (HR >=160), tachypnea (RR >=60), temperature instability (>=100.4 F or <97.5 F), or respiratory distress without supplemental oxygen.

Clinical illness: need for NCPAP/HFNC/mechanical ventilation outside the delivery room, hemodynamic instability requiring vasoactive medication, neonatal encephalopathy/perinatal depression, seizure or Apgar score at 5 minutes <5, or supplemental oxygen for >=2 hours to maintain oxygen saturation >90%.

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Note: MedicalC is NOT medical software and does NOT issue diagnoses or treatment recommendations. The calculators are for educational and informational purposes, use published medical formulas, and are not a substitute for medical consultation. Results should be interpreted by professionals.Read the full disclaimer.