Delivery related | |
(a) caesarean section or instrumental delivery (forceps, vacuum) | |
(b) maternal fever > 38 °C | |
(c) maternal hemodynamic instability (hypotension, tachycardia, impaired consciousness, poor perfusion, notable pallor) or any other type of ailment | |
(d) umbilical cord prolapsed | |
(e) signs of fetal “distress”, with fetal scalp pH < 7.25 or umbilical artery pH < 7.20 | |
(f) any other obstetric complication | |
(g) use of sedatives or relaxants during or after delivery | |
Neonate related | |
(a) need for resuscitation measures | |
(b) intrapartum-diagnosed major malformation | |
(c) Apgar score ≤ 7 at 1, 5, or 10 min | |
(d) presence of symptoms before 10 min of life | |
(e) birth weight < 2300 g or > 4500 g |