EXAMINATION OF THE NEWBORN

FROM HEAD TO TOE FOR COMMON BIRTH DEFECTS

GENERAL OBSERVATION : If present, refer
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Colour of skin: a) Pale b) Blue c) Yellow
Wash your hands, before touching the baby

1 HEAD AND SPINE 2 EYES, EARS, MOUTH AND LIPS 3 4 GENITALIA 5 URINARY TRACT 6
ABDOMEN LIMBS (UPPER & LOWER)
1. Size too large > 38 cms (full term) AND ANUS 1. Ambiguous genitalia 1. Bladder – not covered
2. Size too small < 32 cms (full term) 2. Vaginal opening absent 1. Absence of a whole or part of upper limb
EYES 2. Wrinkled abdominal wall
3. Absence of skull cap ABDOMEN 3. Urethral opening away from 2. Absence of a whole or part of lower limb
1. Eyelid – swelling 2. Eyelid – droopy 3. Urinary stream – check if
4. Swelling or protruding of the brain 1. Scaphoid (sunken and the tip of the penis – look
3. Gap in eyelid 4. Eyeball – absent male child 3. Fused digits
5. Abnormal swelling of the spine concave) with respiratory where the urine comes out
5. Eyeball – small 6. Inside the eye – corneal clouding distress: X-ray chest 4. Absence of digits or split hand/foot
* 7. Inside the eye – opacity of lens/white reflex 2. Distended: X-ray abdomen * * 5. Extra digits
3. Wall defect- gap with 6. Club foot
herniation of the gut

*
1
1 BLADDER EXSTROPHY
AMBIGUOUS GENITALIA Q 56.4 Q 64.0-64.1
1 HAEMANGIOMA
2 3
PTOSIS COLOBOMA OF EYELID
D 18.01 Q 10.0 Q10.3 1
1 DIAPHRAGMATIC HERNIA Q 79.0
HYDROCEPHALOUS Q03 1 2
* * * LIMB REDUCTION DEFECT LIMB REDUCTION DEFECT
UPPER Q71 LOWER Q72

2
2 PRUNE BELLY Q 79.4
7 VAGINAL AGENESIS Q 52.0
2
4 5 6
INTESTINAL OBSTRUCTION Q 41-42
ANOPHTHALMOS MICROTHALMOS CONGENITAL CATARACT Q12.0 CONGENITAL
Q11.1 Q11.2 GLAUCOMA
ONE EYE OR BOTH EYES Q15.0 * *
2
MICROCEPHALY Q02 3 4
EAR SYNDACTYLY Q 70 ECTRODACTYLY Q 72.7

1. Absent 2. Abnormal shape

3
3 GASTROSCHISIS Q 79.3 POSTERIOR URETHRAL VALVE Q 64.20
3
HYPOSPADIAS Q 54 Distended bladder even after passing urine.
*

3 7 CHROMOSOMAL - DOWN SYNDROME

ANENCEPHALY Q00
3 1. Face: Upward slanting eyes, fold on the inner corner of the eye
1 2 2 OMPHALOCELE Q 79.2 4
ANOTIA MICROTIA II MICROTIA III POLYDACTYLY Q 69
Q 16.0 Q 17.2 Q 17.2
(epicanthal), flat nose, small ear, small mouth, excess skin at the
nape of neck
ANUS
1. Absent/imperforate/ 2. Palm: Single crease
MOUTH
abnormally positioned 3. Foot: Increased gap between 1st and 2nd toe
4 1. Cleft (split) lip 2. Cleft (split) palate 3. Cleft (split) lip and palate
ENCEPHALOCELE Q01 *

1
5 IMPERFORATE ANUS/ANORECTAL
SPINA BIFIDA WITH 1 2 3 ATRESIA AND STENOSIS WITH OR 1 2 3 5
MENINGOMYELOCOELE Q05 CLEFT LIP Q 36 CLEFT PALATE Q 35 CLEFT LIP & PALATE Q37 WITHOUT FISTULA Q42.0-Q42.3 DOWN SYNDROME Q90 CLUB FOOT-TALIPES EQUINOVARUS Q 66.0

* Need urgent referral  If any of the above identified, record findings in RCH register and RBSK birth defect recording format along with MCTS details.

Poster template for visible Birth Defects