Normal (0) Mental Sleepy but arousable; decreased feeding (+1) Status Lethargy, poor suck and/or irritable/jittery with strong suck (+2) Semi-coma, apnoea, unable to feed, seizures, coma (+3) Normal (0) Persistent mild to moderate hypotonia (+1) Mild to moderate hypertonia alternating with hypotonia, beginning arching of neck and Muscle trunk on stimulation (+2) Tone Persistent retrocollis and Persistent retrocollis and opisthotonos; crossing or opisthotonos – bicycling or scissoring of arms or legs but without spasms of arms twitching of hands and feet and legs and without trismus (+3) (+3) Normal (0) Cry High pitched when aroused (+1) Pattern Shrill, difficult to console (+2) Inconsolable crying or cry weak or absent (+3) Altered Normal gaze (0) - Gaze Sun-setting; paralysis of upward gaze (+3)
BIND SCORE INTERPRETATION
0 : No indication of ABE 1-3 : Subtle sign of mild of ABE 4-6 : Moderate ABE, urgent bilirubin reduction intervention is likely to reverse the acute damage 7-9 : Advanced ABE, urgent bilirubin intervention is needed to prevent further brain damage and reduce the severity of sequel
BINDA-M SCORE INTERPRETATION
<3 : No indicaton of diagnosis of ABE ≥3 : Positive diagnosis of ABE