What should I do if a newborn is sleepy?

Patient's question:

What should I do if a newborn is sleepy? They started being sleepy three days after birth, not crying or fussing, don't wake up even when their foot soles are touched, have expressions when sleeping, move their arms and legs, but eat and drink little, and can't seem to wake up.

Doctor's answer:

This may be related to neonatal hypoxic-ischemic encephalopathy. It refers to brain damage in newborns caused by hypoxia and reduced cerebral blood flow due to various reasons. The main pathological changes in brain tissue are edema, softening, necrosis, and hemorrhage. It is one of the important complications of neonatal asphyxia and also a common cause of pediatric neurological disabilities. A comprehensive judgment needs to be made by combining the child's delivery situation, body temperature, clinical accompanying symptoms, and relevant tests.

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