Referral to Dietitian - Neonatal Nutritional Risk Screening Criteria

 

Reviewed by Barbara Cormack (Dietitian)
April
2015
Clinical Guidelines Back Newborn Services Home Page

Over 2 weeks of age

  • Nutritional Intake <2/3 expected requirement
    • Fluid restriction ≤160 ml/kg/day
    • <90ml/kg/day P100 after Day 4 and NPM
    • <160ml/kg/day enteral feeds in a preterm infant
    • <150ml/kg/day enteral feeds in a term infant
  • Faltering Growth
    • <15 g/kg/day weight gain for >5days (<38 weeks CGA)
    • <20 g per day weight gain for >7days (>38 weeks CGA)
  • Significant obstructive jaundice
  • Serum phosphorus <1.3mmol/L
  • Intolerance to preterm formula or breast milk fortifier
  • Intake >200ml/kg/day of preterm formula or breast milk fortifier

Any infant with

  • NEC where elemental formula is being considered
  • Short bowel syndrome
  • Malabsorption
  • Chronic lung disease where growth impairment is likely
  • Congenital heart disease where growth impairment is likely
  • Gastrointestinal anomaly
  • Metabolic disorder
  • Chylothorax
  • Renal failure
  • Osteopenia requiring additional calcium and phosphate
  • Possible zinc deficiency
  • Breastfed baby where there are concerns about maternal nutrition