Dr. Li's follow-up notes

"Hello, I'm from Tonghua Town Health Center. I am going to do a maternal follow-up to see if the baby is good. " Several days a month, Dr. Li Xiaodan, who is in charge of maternal follow-up and child follow-up, will visit the maternity home in the village. "Children eat milk or milk powder, milk enough to eat? How are you now? What's wrong? " This is a few words that she often asks. Wash your hands, check your baby's umbilical cord, weigh yourself, measure your head circumference, and ask if there is phenylketonuria and hypothyroidism screening during delivery. According to the specific situation of pregnant women and babies, give health guidance: the benefits of correct feeding and breastfeeding; Get more sunshine to prevent rickets; Keep warm and don't catch a cold. How to judge whether the milk is enough, and what should I do if it is not enough? Answer the consultation of parturient; By checking the dialogue, observe the emotional state of the parturient and whether there are depressive symptoms. Double assessment of maternal and child health status, if there is any abnormality, it is recommended to refer to the maternal and child hospital for examination and treatment when necessary. After the full moon, the doctor ordered hepatitis B vaccine injection and went to the women and children's hospital for hearing examination.

Finally, she gave pregnant women a prescription for health education on maternal health care and child feeding knowledge, and left her contact number so that pregnant women could call for advice at any time.

This is the follow-up of Dr. Li in the past two years. Most of the follow-up results were normal. However, some parturients have bedsore, scalp hematoma, jaundice, hoarseness and congenital heart disease. They all received timely treatment and referral. During the follow-up last year, I found a baby with a murmur in his heart, blue lips, dysplasia, yellow skin and little subcutaneous fat. It is suggested that the patient be referred to a higher hospital and diagnosed as tetralogy of Fallot. When I was 6 months old, I had surgery in Xijing Hospital. After the operation, he was followed up. Children gain weight, cyanosis symptoms disappear, subcutaneous fat increases, and their weight is the same as that of normal children. At present, the child is in good condition.

Love a job, do it seriously, and you will get something if you do it for a long time. In the past two years, pregnant women and their families have been praising Dr. Li. On 20 12, Dr. Li was named as an advanced individual in Yuncheng's maternal and child work. Facing the honor, she said, "I just did what I should do in my post. I want to make good policies."