How to do fundus screening for newborn premature infants? When premature babies are born, all the organs and functions of the body may not be fully developed. Therefore, premature babies usually need to stay in the incubator for a period of time after birth. Let's take a look at how to do fundus screening for newborn premature infants.
How to do fundus screening for newborn premature infants 1 1. How to do fundus screening for newborn premature infants
Only those who have given birth to a baby can truly appreciate the difficulty of getting pregnant in October. Vomiting in the first trimester and labor stress in the third trimester are all necessary experiences for women. If you can finally give birth to a healthy baby at full term, you will be very lucky. Many babies are born prematurely before the next month, so such babies may need fundus screening.
Second, how to do fundus screening for newborns and premature infants?
1. The fundus screening of premature infants is mainly to prevent retinopathy. It is suggested to screen the following newborns: premature infants less than 34 weeks, newborns weighing less than 1.5 kg, and newborns with a history of oxygen inhalation after birth. The probability of retinopathy is 60%.
2. Retinopathy is a kind of fundus disease, which can't be seen from the appearance of eyes and is easily ignored by parents. Fundus screening is an effective method to prevent retinopathy. Parents should attach great importance to it, take premature infants for fundus screening regularly, and find and treat them as soon as possible, otherwise there is a risk of blindness.
Third, is it painful for premature infants to have fundus screening?
Premature infants will have some uncomfortable feelings when they have fundus screening, and there will be crying and noisy situations, but parents can rest assured that they will never cause any harm to their eyes and human body. The whole process of fundus screening is to drop a drop of anesthetic eye drops in the child's eyes, and then turn the child's eyelids up, even if the doctor has finished the examination, it will come to an end.
In the whole process of fundus screening, parents need to cooperate carefully. If the child's eyes are not sick, parents don't have to care. They should persistently do fundus screening for their children.
Fourth, the best time for fundus screening of premature infants
First of all, the best time for fundus screening of premature infants is about 5 weeks, and fundus screening can effectively find retinal diseases. After all, premature infants may cause retinopathy after birth, because retinal blood vessels are not fully developed, which will cause patients to have decreased vision and visual field defects, and even macular degeneration and retinal detachment symptoms.
At this time, we must pay attention to eye hygiene, closely observe the temperature of premature infants during the growth and development of children, and understand the results of fundus screening is of great significance to the solution of the disease, and patients should pay attention to it.
Secondly, premature infants with gestational age less than 34 weeks and weight less than 2 kg must undergo fundus screening. At this time, the best time for fundus screening varies with gestational age. For example, if the gestational age is 22 to 27 weeks, the child will be screened at 3 1 week. If the gestational age is 28 to 32 weeks, screening will be conducted in the first four weeks after birth.
If the gestational age is 33 ~ 34 weeks, the first screening time is 36 weeks. If the gestational age is less than 34 weeks and the weight is less than 2 kg, fundus screening is needed. The best time for fundus screening of premature infants has been clearly understood above. I hope parents can understand and pay more attention to it and seriously standardize the results of fundus examination.
Finally, with the improvement of the survival rate of premature infants, the incidence of retinopathy also increases, which is the main reason for the blindness of premature infants. Because the retina is immature when the child is born, it is usually hindered or affected by various factors. This will lead to retinal hypoxia, which will stimulate the formation of new blood vessels, accompanied by fibrous tissue proliferation, which will lead to the formation of retinopathy.
Premature babies are not as healthy as full-term babies, and their physical resistance is much worse. When they are born, they have to live in an incubator, and some of them need fundus screening. Parents are advised to actively cooperate with the doctor's examination, seek medical treatment in time when problems are found, and don't miss the best examination and treatment time.
How to do fundus screening for newborns and premature infants II. What is neonatal screening?
After the newborn is born, for the sake of good health, parents will send the newborn to the hospital for a period of time to see if all the indicators of the newborn are within the normal range, but there are still some tests to be carried out. Some parents don't know this knowledge.
Newborn screening is to check congenital genetic diseases, metabolic diseases, blood diseases and so on. Through examination, hidden dangers can be found as soon as possible, and treatment can be carried out as soon as possible to avoid adverse effects on newborns. If the examination is abnormal, the hospital will also inform parents to take the newborn to the hospital for examination and diagnosis.
Neonatal examination is mainly conducted by collecting heel blood or umbilical cord blood. Usually, the examination can be carried out three days after birth. If it is not checked in time, try to finish it within 20 days. Different hospitals have blood screening. There are some differences in the survey, but the basic items are the same. Some hospitals have also examined some diseases, such as abnormal metabolism of amino acids and fatty acids.
Newborn screening results generally take 15 days, and even one month in some places, depending on local medical institutions. If there is something wrong with the test results, the hospital will call the parents and inform them to check again. If there is no problem with the result, no special notice will be given.
With the improvement of living standards, many pregnant women will make preparations before pregnancy to ensure that they give birth to healthy and lovely newborns. Generally speaking, after the newborn is born, many hospitals will carry out some screening tests.
Second, is it necessary to do neonatal screening?
Newborns need screening after birth. Generally speaking, screening includes 48 diseases. The main screening sites are the head, eyes, neck, chest, abdomen, buttocks and limbs of newborns. Two days after the birth of a newborn, each newborn is examined relatively, and newborns and mothers who have no problems can be discharged. Only by passing the examination can the newborn have a healthy body. Therefore, it is necessary to screen newborns for 48 diseases.
Newborns need to be screened for diseases in time after birth, and various diseases can be screened through faster and more mature detection methods. Every newborn will receive physical examination and early screening within three days after birth, so that diseases can be found in time, which is beneficial to the health of newborns.
Some parents-to-be think that they are healthy and their newborns will not suffer from genetic diseases, so they don't pay enough attention to these screening. In fact, genetic diseases can usually be divided into recessive inheritance and dominant inheritance. Recessive inheritance needs intergenerational interval, while dominant inheritance occurs in the second generation, so it needs all kinds of screening.
Fetuses will be screened for maternal abdominal diseases, so the screening results of most healthy babies are better. However, newborns must also be screened after birth, and mothers will be affected by abnormal screening results and don't know how to deal with them.
Third, what should I do if the newborn screening is abnormal?
First of all, the time for neonatal screening should be to collect blood within 72 hours. Mothers who find abnormal results should go to a pediatrician and ask the doctor about the severity of neonatal abnormalities. If it is not serious, please follow the doctor's advice and take good care of it in the following days.
Parents should not be discouraged if the newborn screening is abnormal and needs special treatment. First of all, relax your mind and keep an optimistic mood, otherwise the newborn will easily feel this atmosphere. Actively cooperate with doctors to treat newborns professionally, and determine the next steps according to the treatment results.
Regular examination can better guide the situation of newborns after treatment. After all, abnormality refers to whether a newborn has a congenital genetic disease. Re-examination can artificially participate in disease control and avoid the occurrence of diseases. It is also necessary to check for anomalies. Mothers should not think that abnormal examination means that the newborn is unhealthy.