Services defining each category of neonatal inpatient care (it is assumed that facilities providing more advanced categories of care also provide all services of lower categories in an additive hierarchy)
| Category of newborn inpatient care | Services and interventions allocated to each category by the expert group | |
| Standard care | Chest X-ray Thoracic transillumination Peripheral line Intravenous fluids Nasal prong oxygen Intravenous antibiotics Anticonvulsants (intramuscular phenobarbitone) Phototherapy | Kangaroo mother care Nasogastric tube Full haemogram Bedside glucose Laboratory glucose Total bilirubin Direct bilirubin Urea, electrolytes, creatinine |
| Intermediate care | Cranial ultrasound Upper/lower gastrointestinal barium X-ray CT scan/MRI scan Umbilical line Peripherally inserted long line Continuous positive airway pressure Surfactant Transfusion of blood (packed red cells) | Transfusion of blood products (fresh frozen plasma/platelets) Tube thoracostomy Double phototherapy Exchange transfusion Parenteral nutrition Retinopathy of prematurity screening (for referral to specialist care for management) Coombs test. The expert group was divided in allocating the Coombs test to intermediate or standard care, and no consensus was reached. At a minimum, we suggest that the Coombs test is provided in the intermediate category of care. Further information on the discussions on the Coombs test is provided in online supplementary appendix table A7 |
| Intensive care | Arterial line Invasive ventilation Inotropes Peritoneal dialysis | Surgical management of gastroschisis, imperforate anus and necrotising enterocolitis Head cooling. The group was divided in allocating head cooling to intensive or intermediate care, and no consensus was reached. At a minimum, we suggest that head cooling is provided in the intensive category of care. Further information on the discussions on head cooling is provided in online supplementary appendix Table A7 |