Any young mom looks forward to discharge from maternity hospital. But, having appeared in native walls with the newborn baby on hands, after a while she begins to worry concerning medical supervision of the child. He is such tiny! How to make sure that is with it everything is all right? The system of patronage of newborns was for this purpose created.
What is patronage of the newborn?
Patronage of newborn children – the program of observation within the first month of life. At young mom the mass of questions on child care becomes ripe. The local pediatrician or the patronage nurse in detail explain how it is correct to swaddle the kid, to feed him how to bathe and process an umbilical wound. Also the discussion with new mom where tell how to eat when breastfeeding properly is led.
The doctor during each visit examines the newborn not to miss any pathology. Surely the umbilical wound, reflexes of the child looks round and the tummy is probed.
One more purpose of patronage – identification of conditions which contain the child. The attention to purity in the apartment, the size of a living space and the number of rooms is surely paid. Who needs patronage observation? All can count on it. It does not depend on the place of a registration and existence of the policy of compulsory health insurance and is carried out absolutely free of charge.
How often patronage visits are carried out?
The first time the doctor comes in one of the first three days after an extract and maternity hospital. If the kid – the firstborn, was born after or before term or has any congenital diseases, then the pediatrician examines it directly in day of an extract. In the first ten days the pediatrician or the patronage sister have to come daily. They can come together, separately, or in general in different days. During the first visit the doctor gets acquainted with living conditions of the kid and his parents. Also he finds out alarms and problems of family connected with appearance of the child and is interested in health of mother, a mental state. Further the doctor finds out how there took place pregnancy – whether mom on preservation lay whether was toxicosis. Is interested in the course of childbirth, namely: the child was born a natural way or by means of Cesarean section as the newborn felt. All these data contain in the prenatal record which young mother receives at discharge from maternity hospital. The family tree of the kid gathers. Information on the state of health of parents and other close relatives gathers. It is carried out to define risk of developing of hereditary diseases. The next stage – survey of the kid. It with literal sense of a word is examined from head to foot – skin color, a shape of the head, reaction of eyes to light, arrangement of ears, the structure of a hard and soft palate, a shape of a thorax, stomach and genitals, position of hands and legs. At the end of a visit the doctor examines a breast of mom and makes recommendations about feeding. Attention is still paid to hygienic care for the newborn. At the second and the subsequent visits the doctor examines the kid again to estimate development. Possible problems of the growing-up kid (vomiting, gripes) are discussed with mom, and the discussion about prevention of rickets is led. On the last visit the date and time of reception when parents already need to bring the child into children's policlinic is fixed. Generally, inspections of children aged about one year are performed once a month, in so-called "baby day" (1 day a week when the doctor accepts only babies).