[US Standard Certificate Of Birth Field 54]. This class represents an abnormal condition of the newborn. On the form, this is a multiple-choice question (i.e., "check all that apply"), although one of the choices is "None of the above", so if that one is chosen, there should not be any others chosen. Possible values include: Assisted ventilation required immediately following delivery; Assisted ventilation required for more than six hours; NICU admission; Newborn given surfactant replacement therapy; Antibiotics received by the newborn for suspected neonatal sepsis; Seizure or serious neurologic dysfunction; Significant birth injury (skeletal fractures(s), peripheral nerve injury, and/or soft tissue/solid organ hemorrhage which require intervention); None of the above.