TABLE 1. Definitions of Hospital-Based Newborn Services Used for Survey 
Performed by Section on Perinatal Pediatrics  
Basic neonatal care (level I)  Well-newborn nursery  Evaluation and postnatal 
care of healthy newborns  Neonatal resuscitation  Stabilization of ill 
newborns until transfer to a facility at which specialty neonatal care is provided  
Specialty neonatal care (level II)  Special care nursery  Care of preterm 
infants with birth weight 1500 g  Resuscitation and stabilization of preterm 
and/or ill infants before transfer to a facility at which newborn intensive care is 
provided  Subspecialty neonatal intensive care (level III)  Level IIIA  
Hospital or state-mandated restriction on type and/or duration of mechanical 
ventilation  Level IIIB  No restrictions on type or duration of mechanical 
ventilation  No major surgery  Level IIIC  Major surgery performed on site (eg, 
omphalocele repair, tracheoesophageal fistula or esophageal atresia repair, bowel 
resection, myelomeningocele repair, ventriculoperitoneal shunt)  No surgical 
repair of serious congenital heart anomalies that require cardiopulmonary bypass 
and /or ECMO for medical conditions  Level IIID  Major surgery, surgical repair 
of serious congenital heart anomalies that require cardiopulmonary bypass, 
and/or ECMO for medical conditions
PEDIATRICS Vol. 114 No. 5 November 2004, pp. 1341-1347 
 
Nancy E. Wight MD, IBCLC, FABM, FAAP
Neonatologist
Medical Director, Lactation Services
Sharp Mary Birch Hospital for Women
San Diego, CA USA
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