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This is very interesting, because it is of course sensible for administrative AND bilingue purposes, but not for epidemiologists or auditing.  e.g. If baby has a diaphragmatic hernia or a transposition of great vessels, undiagnosed antenatally and is born in level II institution, it would be a marker of good care that that baby is transferred to a higher level of care in the 1st 24 hours of his life?
Sophie

In the US, at least on the east coast, we start Day 1 at midnight, even if baby came at 11:59pm  or 23:59 military time.
>I guess there has to be a starting point!
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>Janet Brooks
>Midwife
>Hudson River Health Care
>Peekskill NY
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>-----Original Message-----
>From: Anna Byrom <[log in to unmask]>
>To: MIDWIFERY-RESEARCH <[log in to unmask]>
>Sent: Tue, Jan 14, 2014 6:17 am
>Subject: Re: day of birth: postnatal day 1 or 0?
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>Ooh hello there again!
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>Anna Byrom
>Midwifery lecturer
>UCLan
>Sent from my iPhone
>(Any spelling or grammatical errors should be blamed on my inventive auto-correct)
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>On 14 Jan 2014, at 11:11, "Laura Iannuzzi" <[log in to unmask]> wrote:
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>Hi!
>In Italy too it generally depends on the time of the day of birth (e.g. if the child was born before 2 pm that day is already postnatal day 1, if after 2 pm it counts as postnatal day 0).
>Practices may vary a lot depending on geographical areas and local protocols. hope this can be helpful
>Best wishes
>Laura 
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>Laura Iannuzzi
>RM, BMid, PGCert, MSci , Phd student - Health Studies School of Health Sciences, The University of Nottingham
>Senior midwife, Ds professional University Hospital of Careggi, Florence, Italy 
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>2014/1/14 Lisa Common <[log in to unmask]>
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>Hi Paula in Nottingham, UK the date of birth is anytime during the 24 hours on a specific date.
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>Babies become postnatal day 1, when the date changes. Therefore a baby born at 23:55 on 14 Jan will become postnatal day 1 after midnight on 15 Jan.
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>We used to use midday, rather than midnight as the change though, so it hasn't always been like this. I think it is related to our IT system requirements. I hope this helps.
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>Lisa
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>> On 14 Jan 2014, at 09:00, "Paula" <[log in to unmask]> wrote:
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>> How does each country define the day of birth? As postnatal day 1 or 0? Or does this, for example, depend on the time of the day the child was born? In The Netherlands, day one is defined as the day of birth. Althought I have heard that this may depend on the time of the day (day 0 when born after 7 pm). So for example, if a child has a (postnatal) age 4, how old is this child? Three (i.e. approximately 72 hours) or four days (i.e. approximately 96 hours) old?
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