Administered by: Bureau of Maternal and Child Health


High Risk Infant Follow-up serves infants who have any of the following conditions:

  • a serious congenital infection;
  • an endocrine, metabolic or immune disorder;
  • a blood disorder;
  • birth weight less than 1,500 grams;
  • a positive urine toxicology for any drug or signs of drug toxicity or withdrawal;
  • discharge from a neonatal intensive care unit; or
  • a congenital anomaly or other conditions, such as intrauterine growth retardation.

These infant families plus families who experience neonatal death are referred to local health departments for follow-up services. The goals of follow-up services are to promote optimal growth and development, teach the family care of the high risk infant, prevent complications, decrease morbidity and mortality, decrease stress and potential for abuse, and ensure early identification and referral for further treatment and evaluation.

This program is a component of Family Case Management and relates to many other programs. The referral is initiated at a hospital, the Division of Epidemiology at IDPH is the reporting system data base, and public health nurses provide follow-up services.

There is a direct connection between high risk follow-up and numerous programs such as WIC, Primary Care, Early Intervention, Perinatal Follow-up and others depending on the needs of the family.


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