Criteria A |
1. Apgar score <5 at 10 min of age |
2. Continued need for ventilation 10 min after birth |
3. pH <7.0 or base deficit < −16 in blood gases within 1 h of birth |
Criteria B |
Moderate to severe encephalopathy, consisting of altered state of consciousness (as shown by lethargy, stupor, or coma) and >1 of the following: |
1. Hypotonia |
2. Abnormal reflexes, including oculomotor or papillary abnormalities |
3. Absent or weak sucking reflex |
4. Clinical seizures |
Criteria C |
Amplitude-integrated electroencephalography (aEEG) records (30-min) |
1. Moderately abnormal aEEG background activity |
2. Severely abnormal aEEG background activity |
3. Seizure activity |