SCN prematurity screening & treatment

BHS specific SCN guidelines for premature infants

    • Vitamin D
      • All babies <37/40 or with risk factors (maternal vitamin D deficiency, dark skin, veiled, etc.)
      • 0.1ml (500 IU) vitamin D po daily from D5
    • Anaemia of prematurity
      • All babies <2kg BW or <34/40
      • 2nd weekly screening Hb/retics (weekly if low Hb)
      • Rx Ferro-liquid 0.5ml (<2kg) or 1.0ml (2kg+) po daily from D14 if tolerating full feeds
    • Osteopenia of prematurity screening
      • All babies <32/40
      • start D21 & check every 2wks (serum ALP, Ca, PO4 and urine Ca/PO4/Cr, calculate TRP*)
      • recheck weekly if on supplements
      • Rx PO4 1-3mmol/kg/day if PO4 <1.8 or sALP >500 and TRP >95%; consider Ca Rx as well
    • Neurological screening
      • All babies <32/40
      • cranial USS on D2/3, D14 and D42
    • Retinopathy of prematurity screening
      • if <32/40 or <1500g or required O2/ventilator >1wk
      • occur on Tuesdays, please write up eye drops the day before
      • request at D21 or CA 30/40, which ever is later
    • Vitamin E
      • only continued from tertiary NNU if started there
      • 0.1ml po daily until 36/40

    * TRP = 1 - ((u.PO4 x s.Cr / u.Cr x s.PO4) X 100)