This information is intended for health professionals. For general information, please visit: Perinatal Program Newfoundland Labardor (PPNL) website.

• Birth weight 1,500 grams or less
• Seizures in the first 28 days of life
• Ventilated for 48 hours or more
• Meningitis in the first 28 days of life
• Apgar score 3 or less for 5 minutes or more AND cord blood pH less than 7.0 with base deficit more than 16mmol/L   (NOTE:  if cord blood gas is not recorded, use apgar criteria only)     
• Intraventricular hemorrhage (IVH), grade 3 or more
• Periventricular leukomalacia (PVL)
• Complex surgery
  • Cardiac
  • Thoracic
  • Gastrointestinal (GI)
  • Genital-Urinary (GU)
• Received extracorporeal membrane oxygenation (ECMO)
• Antenatal substance misuse, documented by either:
  • a positive maternal history; or
  • a positive neonatal urine toxic screen; or
  • a Neonatal Abstinence Syndrome (NAS) score more than 8 (average) on 3 occasions
• Specific physician request – a physician can request follow-up for other reasons (physician must provide reason details)

• PPNL Follow-up Referral Form (PDF)