With the advent of the baby in the family come not only great happiness, love, care, but the inherent feelings of anxiety and fear. As if parents neither were prepared for the birth and upbringing of their little miracle, but without assistance, especially medical, they can not do.
In the hospital, where round the clock medical staff, monitoring and advising, mother and relatives feel confident, but only they should leave the walls of this institution, and to be left alone with a baby, you may experience panic, uncertainty and some fears. That is why there are nursing a newborn.
After discharge from the hospital outpatient service data is transmitted on the newborn. If the family changes residence or place of residence, they must self-report your move and register with the children's clinic at the place of actual residence. It is necessary for the possibility of health workers to hold nursing a newborn. A sample of the necessary documents are in treatment-and-prophylactic institution. Small children are attended to regardless of place of residence or city of birth.
Terms of patronage newborn
Clinical examination and initial visit to medical personnel needs to be made in the first three days after discharge from the maternity ward and are regular within the first month. It should be noted that on the introduction and examination of the newborn the doctor together with a nurse and, subsequently, in the absence of reasonable excuse, the nurse makes visits alone. She holds the pediatrician to know the condition of the baby, filling in all the necessary medical documentation.
How is the patronage?
First nursing a newborn, if the baby is at risk, must be performed the first day after discharge. First week visits are applied on a daily basis, then their multiplicity is reduced, and in the absence of abnormalities in child development and physiological changes subsequent visits are at the third and fourth weeks of baby's life.
Primary nursing a newborn pursues these goals:
- familiarity with the newborn and his family
- checking the health of baby and mom
- the evaluation of housing conditions and social status of the family
- training mothers the basic rules of child care
- psychological and counselling services to young parents.
Of course, patronage first and foremost, is in assessing the health and development of the baby. To do this, the doctor will gather a detailed history of pregnancy and childbirth, possible complications and pathological States, risk groups and chronic diseases in parents and blood relatives, conducts a General examination of the child.
Then the physician proceeds to the direct examination of the baby. Special attention is paid to the condition of the skin (color, purity and presence of any rashes, diaper rash or sores, especially in the folds) and mucous membranes. The pediatrician assesses reflexes, weight gain, features of feeding, nature of respiration and heart rate, severity of distention and the nature of feces. Performs auscultation of the lungs and heart, palpation of the abdomen, examination of the Fontanelle and umbilical wound.
Real nursing a newborn is supplemented by inspection and mom. Special attention is paid to the chest, and if the child is breastfed, the correctness of the application and activity of the suckling baby. At the same time provides advice on nutrition moms.
Additionally, medical personnel may inquire about the availability of the home kit and its components and, if necessary, to recommend to complement it with necessary medicines and emergency care means care of a child.
Patronage nurses is not only to support the physician and completing routine documentation, but also in direct work and communicate with the newborn and his family.
The nurse will talk and practice will show you how to correctly handle Popovych, clean nose, ears and eyes, how to bathe the baby and to cut nogtiki.
Training parents to patronage
Nursing a newborn child requires training not only medical personnel, but also the parents. Any particular action, of course, is not required, but you should buy overshoes and a paper towel. Also stock up on disposable gloves and disinfectant and shamelessly ask to see your baby in them and make sure that the doctor did not forget to handle your stethoscope with alcohol, you kindly offer.
Prepare the site for easy inspection of the child. Best of all, if this is a changing table with free access to it. No less important is good lighting in the room.
Gather all medical records and prepare a list of questions to ask, because when it comes to them, from the excitement you may forget what you wanted to ask.
Filling in medical documentation
After inspection and consulting is filled with all the necessary documentation. This can be considered completed nursing a newborn. The sample is presented below.
At the age of _______on ____ the day of discharge from maternity hospital No.____boy(girl) from ____ pregnancy________born(-ve) term(-th)/premature (th). Birth weight ______the weight at discharge ______growth _______the head circumference ________. The child's condition after birth ______. Diagnosis __________, treatment (if carried out) _____________. The child is on the feeding _______________. the condition of the umbilical wound ______. Jaundice appeared on ______ the day was not. Blood group and RH factor ___________ child. Chronic diseases of the mother ________________________________, father ____________________________. Contact TB __________. The state of the mammary glands of the mother _________________________________________________________________.
General examination of the child: state __________, body temperature ________. Skin _________________________, the tissue turgor ________________, muscle tone ________________. Sclera _________, the shape of the head ___________________, large Fontanelle _______________________, small ______________. Reflexes of the newborn _________________________________________________________. Musculoskeletal system __________________________________________________, light _________________________, respiratory rate ______________, auscultation __________________________, heart ____________________________, heart tones _______________, HR ________belly ____________________________, liver _______________, spleen ___________, genitals _________________.
Musculoskeletal system _______________________________________________ Conclusion ______________________________________________________________
Vaccination ______________________________________________________________ Advice on breastfeeding ___________________________________________________________ Signature of the nurse _______________ physician's Signature __________________________
After the first month of active inspection on the house stopped, and the parents alone have the opportunity to visit the clinic together with your baby. During the first year of life necessary on a monthly basis. During the examination the doctor evaluates the child's development (physical, mental), advises parents about the daily routine of the kid, his age-specific needs and stages of development, is conducting an anthropological measure (determines the height and weight, head circumference and chest), carries out preventive measures aimed at preventing the development of anemic conditions, rickets and other vitaminadeficiency.
Nursing a newborn implies another important feature is the observance of the schedule of vaccinations.
Study of healthy children
An integral part of a successful clinical examination of the infants is the presence of so-called healthy child room. Through his work a young mother can obtain the necessary advice and knowledge about the development of her baby, the principles of nutrition and timing of introduction of complementary foods, the basic rules of tempering and techniques of massage and preventative exercise. This office is always quite necessary literature and visual AIDS that will facilitate the understanding of the processes of development of infants, nutritional guidelines and the organization of the correct mode of the day.
Nursing a newborn is not only necessary, but helpful monitoring method for a small member companies that provide timely diagnosis of pathological conditions and prevent their development, providing the knowledge and skills to care for the baby, instills confidence in themselves and their actions leading to the controlled child care and may prevent young parents from many mistakes.