Neonatal Follow up Clinic

ConditionsConditions

There is no condition information for this clinic

Availability

North South North West Statewide

Scope

The Neonatal Follow-up Clinic reviews babies:

  • Born at less than 32 weeks gestation (i.e. very preterm) and/or with birth weight less than 1.5 kg.
  • Late preterm and term babies with specific conditions requiring specialised follow-up (eg syndromic disorders, congenital heart disorders, neurologic disorders including hypoxic-ischaemic encephalopathy, etc)

The purpose of specialised follow-up is to:

  • Promptly identify problems in this high risk group of infants and initiate early intervention
  • Collect outcome data on very preterm infants to provide accurate information on outcomes to the community, provide information for parents expecting the delivery of a very preterm infant, and to improve the care in the Tasmanian NPICU at the RHH.

The follow up schedule is individually tailored and is often:

Approx. six weeks after discharge and at three months of ageNeonatologist +
Physiotherapist
Eight months, 12 months, two years, three years and four and a half years correct age.Neonatologist +
Allied Health (may include physiotherapist, occupational therapist, psychologist)

The Neonatologist or Paediatrician may review babies beyond two years of age if he/she was born extremely preterm or was very growth restricted at birth, or if there are other concerns. Those babies who will clearly require follow-up into later childhood will be transitioned to an appropriate paediatric clinic or private paediatrician. Those who are progressing well will be discharged from the clinic.

The allied health team includes a Physiotherapist, Psychologist, Occupational Therapist and a Speech Pathologist and assists in assessment and management of developmental problems.

Cross referrals are made to other paediatric services as required, including the Paediatric Rehabilitation Service, Early Intervention Service, Audiology, Ophthalmology and Dietician Services.

Referral process

Access to this clinic occurs after discharge from the Neonatal Unit or by direct referral from a Paediatrician.

If you believe you have a patient who requires care from this service then referral is via the General Paediatrics referral system where triaging and allocation will occur if the child is thought to fit the criteria.

All referrals should comply to referral standards including birth history and developmental information where possible.

Referral template

For use by health professionals only

Additional information

For more information please see the Tasmanian Health Pathways website.