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Get the free West Virginia Birth Score Program High Birth Score Referral and Tracking Form - wvdhhr

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This document serves as a referral and tracking form for infants with a high birth score, providing essential information about the infant, mother, and their healthcare services.
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How to fill out West Virginia Birth Score Program High Birth Score Referral and Tracking Form

01
Gather all relevant information about the infant, including name, date of birth, and medical history.
02
Locate the West Virginia Birth Score Program High Birth Score Referral and Tracking Form.
03
Fill out the infant's demographic information in the designated sections.
04
Provide details about the mother's medical history and any risk factors during pregnancy.
05
Indicate any known complications or health issues observed in the infant.
06
Complete any additional sections that ask for information on postnatal care.
07
Double-check the form for accuracy and completeness before submission.
08
Submit the completed form to the appropriate healthcare provider or agency as instructed.

Who needs West Virginia Birth Score Program High Birth Score Referral and Tracking Form?

01
Newborns identified with high birth scores or those at risk for developmental issues.
02
Healthcare providers who are responsible for tracking and addressing the needs of at-risk infants.
03
Parents or guardians of high-risk infants who may require additional support services.
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A high birth rate refers to a significant number of live births per 1,000 people in a population within a given year. This phenomenon is typically observed in developing countries and is often associated with lower levels of industrialization, limited access to healthcare, and cultural norms that favor larger families.
A baby who scores a 7 or above on the test is considered in good health. A lower score does not mean that your baby is unhealthy.
Typically, high birth rates are associated with health problems, low life expectancy, low living standards, low social status for women and low educational levels.
The higher the score, the better the baby is doing after birth. A score of 7, 8, or 9 is normal and is a sign that the newborn is in good health. A score of 10 is very unusual, since almost all newborns lose 1 point for blue hands and feet, which is normal for after birth.
The Apgar score is based on a total score of 1 to 10. The higher the score, the better the baby is doing after birth. A score of 7, 8, or 9 is normal and is a sign that the newborn is in good health.
The baby is checked at 1 minute and 5 minutes after birth, and at 5-minute intervals until 20 minutes with an Apgar score less than 7. The Apgar score includes heart rate, breathing effort, muscle tone, reflexes, and color. Each area can have a score of 0, 1, or 2, with 10 points as the maximum total.

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The West Virginia Birth Score Program High Birth Score Referral and Tracking Form is a document used to identify, refer, and track infants who have a high birth score, indicating a potential risk for health issues.
Healthcare providers, particularly those involved in prenatal and postnatal care, are required to file the West Virginia Birth Score Program High Birth Score Referral and Tracking Form for infants identified with high birth scores.
To fill out the form, providers must enter relevant details such as the infant's information, the birth score calculation, and the identified risks. It may also require signatures and dates, depending on the guidelines provided.
The purpose of the form is to facilitate early intervention and support for infants who may be at risk based on their birth score, ensuring that they receive appropriate care and resources.
The form must report the infant's name, date of birth, birth score, any identified health concerns, and details of the referring healthcare provider.
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