Results:
The four rounds of the consensus procedure garnered participation from
31, 33, 31, and 29 individuals, respectively. A significant majority
(97%) agreed on the necessity of reaching a consensus. Initially, 91
markers were suggested, eventually leading to the agreement on six
overarching markers and their corresponding measurement instruments, as
presented in Table 1.
Table 1
A Using INTERGROWTH-21ST newborn
size charts(1)
B According to Delphi consensus definition(2)
C Severe brain injury diagnosed < 7 days of
life; therapeutically cooled/decreased central tone/comatose/seizures of
any kind/ amplitude integrated electroencephalography abnormality
<24 hours of birth.
D Using ISSHP definition(3) (amended: ‘despite
maintenance treatment with multiple (instead of 3 )
antihypertensive agents’, plus pre-eclampsia arising at less than 34
weeks gestation)
E Using the Amsterdam consensus criteria(4) or
Freedman classification.