We also had a physical examination in the hospital when Bauer was born, but it may be a little far away from Dabao's birth, and the baby was born in two different hospitals, or the hospital system has changed a little. Bauer and Dabao are a little different, so the time of physical examination is also a little different.
First physical examination. When the baby is born, he will have his first simple physical examination in the delivery room.
① It is mainly to check the baby's breathing to see if it can breathe normally and there is no blockage.
2 There is also whether the baby's crying is loud enough and whether the heartbeat is normal.
③ Whether there is normal conditioned reflex.
④ The examination of muscle tension is also the key examination.
⑤ The color of the baby's skin to see if it belongs to the newborn's skin.
6 Whether there are abnormalities in all aspects of the baby's body, such as hands and feet.
At that time, my friend gave birth to a child in the Municipal Maternal and Child Health Hospital. Her child was examined the day after delivery. In short, mothers usually have a physical examination before leaving the hospital.
Second physical examination, heel blood and hearing screening. (1) hearing screening, which is easy to understand, is to screen the baby's hearing, usually 3-5 days after the baby is born. A baby's hearing is very important. If the baby's hearing is limited, it will be affected in learning to speak and other communication in the future. If there is no screening, it may not be discovered until the baby is older, and the best treatment time may be missed. In the first screening, if the baby's hearing is unqualified, the second and third screening will be carried out.
② heel blood is adopted. Heel blood is usually taken 3-7 days after the baby is born, that is, some blood is taken from the heel of the newborn for examination, mainly to check phenylketonuria and hypothyroidism, because if you get these two diseases, the main symptoms are slow response, stupidity and developmental retardation. It is said that if these two diseases are detected, the state will treat them free of charge, and the cure rate is quite high, reaching 95%, so parents don't need them.
When the lazy mother gave birth to Bauer, she stayed in the hospital for a few more days because it was a caesarean section, so these tests were done directly in the hospital. If the mother who gave birth in the hospital didn't do these tests for her baby, it's time to take her baby back to the hospital for examination. These tests are very important, so parents should remember to take their baby to check on time. In lazy mom's side, newborn hearing screening and heel blood are free, and other places should be free, which seems to be a preferential policy of the state.
The third physical examination. The baby is 42 days (some have a physical examination when the baby is 28 days, and the lazy mother has a physical examination here for 42 days). ① The baby's height and weight. Judging the baby's growth and development according to his height and weight.
② Head circumference and anterior fontanel size. This is one of the items that must be checked in every physical examination. The data of the baby in different months will be different, and it can also be used to judge whether the baby's growth and development are normal.
3 baby's body surface. Check the baby again for abnormalities.
④ Cardiopulmonary function. Just simply check the baby's cardiopulmonary function.
⑤ Feeding mode. Understand the baby's daily life, whether breastfeeding or mixed feeding, and the baby's daily milk quantity.
The first two physical examinations were in the hospital. When leaving the hospital, the hospital will issue a baby physical examination manual. At the third physical examination, it would be nice for mom and dad to take the baby to the community hospital for examination. Community hospitals usually call in advance, which is generally free. Then the next physical examination will be three months.
If there is no notice from the hospital, parents should pay attention to themselves and know in advance which hospital to go to for physical examination, what to do, what to prepare, and so on. Of course, mom and dad don't need to be too nervous. The baby's physical examination time is actually very fast, only ten minutes. Just let the baby eat and sleep well before going to the physical examination.
Having given birth to two babies, I feel that the babies have to undergo various physical examinations from birth. What impressed me most was that Dabao was doing hearing screening at that time, and the doctors in the hospital could not get the results three times. At that time, our family was so anxious that the baby could not hear the sound. It was not until he left the hospital and watched the baby's reaction at home that he seemed to hear the sound. Then we took the baby to the hospital for hearing screening, and sure enough, the results showed normal.
What are the three essential routine physical examinations for newborns?
What are the essential physical examinations for the baby from birth to 28 days after birth?
1. First routine physical examination of newborn: at birth.
Generally, when a baby is born, he will have a physical examination to judge the physical development of the baby when he comes out of the uterus, and whether there are serious deformities or birth injuries.
① Vital sign assessment: See if the baby is breathing within 20~30 seconds after birth. If not, clean the respiratory tract first.
② Apgar score: This is a comprehensive assessment of the baby's health status in a short time, generally every minute, five minutes and ten minutes after the baby is born.
3, check whether there is serious deformity or birth injury: generally, when a baby is born, the doctor will observe whether the baby has serious deformity or birth injury from the body surface.
④ Physical development assessment: The physical development of newborn babies is judged mainly by measuring their weight, length and head circumference.
⑤ Assessment of gestational age: It is mainly used to judge the maturity of infants and estimate the viability after birth. For example, some expectant mothers with irregular menstruation need this method to evaluate the gestational age.
2. The second routine physical examination of newborn: 2~3 days after birth.
Generally, the baby will stay in the hospital for a few days after birth. During this time, the medical staff will also give the baby a physical examination.
1. newborn hearing screening: medical staff will use professional instruments to screen the baby's hearing. If the screening fails, parents need not worry too much. They can check again in a month.
② heel blood screening: Generally, before the baby leaves the hospital, the medical staff will inform the parents to take the baby to get heel blood, and then take it for testing, which is mainly used to screen some congenital and hereditary diseases of the baby.
3. The third routine physical examination of newborn: 28 or 42 days after birth (also called full moon physical examination).
Usually after the second month, both the mother and the newborn baby have to go to the hospital for a physical examination, which is particularly important. Even if parents temporarily forget, community workers will inform them in time.
1. weight: weight can reflect the baby's recent nutritional status. At 28 days (full moon), the baby's weight is about more than that at birth 1000 grams, or even more. It should be noted that there is no fixed pattern for each baby's weight due to different degrees of nutrient absorption, different constitutions and different feeding methods of parents (breast milk or artificial feeding). As long as the baby is in a good mental state and has a good appetite, parents don't have to worry too much even if they don't gain much weight.
2. Height: In addition to measuring the weight, the medical staff will also help the baby to measure the height when the newborn baby is about 28 days old, so as to judge the baby's nutritional status and bone development at this stage. In this physical examination, the height standard of male baby is 48.7~6 1.2cm, and that of female baby is 47.9~59.9cm.
3. Head circumference and fontanel size: Head circumference can reflect the development of baby's head and skull, and it is also one of the necessary items for each physical examination. By the "full moon", the head circumference of a male baby is 33.3 ~ 40.7 cm, while that of a female baby is about 32.6 ~ 39.9 cm.
4. Feeding method: In this physical examination, the general medical staff will also know the baby's feeding method by asking parents, whether it is breastfeeding, artificial feeding or mixed feeding. In addition, the staff should also know the baby's daily milk quantity. Of course, if there are problems with parents' feeding methods, the staff will also point them out in time to help novice parents feed their newborn babies better.
5 Others: In addition to the above points, the physical examination of the newborn baby may also check the baby's chest circumference (observe whether the sides of the chest are symmetrical or not, whether there are bulges, etc.). ), cardiopulmonary function and evaluation of the baby's development (such as testing the baby's vertical head, hand grasping and follow-up, etc.). ).
In short, these three routine physical examinations for newborn babies are very important. The first two items can basically be carried out in hospitals, and the last item requires parents to take their babies to hospitals or communities. Of course, after passing these three physical examinations, the newborn baby will start a new round of monthly physical examination and regular vaccination.
Hello, I'm Ma Jing, and I'm glad to answer your question.
As we all know, whether it is a natural delivery baby or a caesarean section baby, there are three important physical examinations after birth. The first time was after birth, the second time was about 3 days after birth, and the third time was a full moon physical examination. These three physical examinations are indispensable. Let's take a look at the specific items of these exams.
Do you understand the three routine physical examinations necessary for newborns?
1. First physical examination
Time: After the baby is born
Entry: Apgar score
As we all know, after the baby is born, the nurse will clean the baby first, and then score the situation of 1 minute, 5 minutes and1minute after the baby is born, that is, Apgar score. Through this score, we can know the health status of the newborn baby and determine whether the baby is hypoxic.
Scoring items include:
Heart rate: the heart rate of newborn babies is generally faster, and it is normal to exceed 100;
(2) Breathing: The baby mainly breathes in the abdomen. As the newborn baby enters the spontaneous breathing without mother for the first time, the alveoli expand rapidly, and the airflow hits the throat, making a sound similar to crying.
If the baby leaves his mother, he will make a loud cry, which proves that the baby's lung function is good; If the baby doesn't cry immediately, the general nurse will beat the baby's soles to stimulate the baby to cry.
③ Muscle tension: This is a very important examination content, reflecting the contraction and relaxation of muscles. You can lift your baby's hands and feet, let the baby fall naturally, and check your baby's muscle tension.
If the baby's muscle tone is abnormal, it is generally believed that the baby's nervous system development has problems, especially cerebral palsy.
④ Response to stimulation: mainly check the baby's various nerve reflexes, such as Moro reflex and grip reflex.
⑤ Skin color: You can intuitively judge whether the baby is hypoxic and the degree of hypoxia. Normal baby's skin color is ruddy. If the baby lacks oxygen, the skin color is blue-purple.
Scoring results:
These five items, each two points, a *** 10 points, if less than 3 points, that the baby is seriously hypoxic; Between 4 and 7 points, it suggests that the baby is slightly hypoxic; 7- 10, which is normal.
If the baby lacks oxygen, cries abnormally or doesn't cry, it will generally give the baby oxygen for 20 minutes and then score. If necessary, "cardiopulmonary resuscitation" will be adopted to rescue the severely embarrassed baby.
2. Second physical examination
Time: within 3 days after birth
Project: Take the blood from the newborn's sole and check the hearing.
① Take the baby's plantar blood.
Objective: To screen "phenylketonuria" and "hypothyroidism", both of which are helpful to judge whether the baby has mental retardation.
Blood collection method: Generally, parents will be informed in advance to collect blood from the baby's feet at the inner and outer edges of the baby's heel. Parents can massage or hot compress the baby's heel to make the blood full and facilitate blood collection.
Note: Many parents think that it will be particularly painful for the baby to draw blood from the soles of his feet, so he can't bear it. But in fact, the pain nerves of newborns are not fully developed, and they often do not feel great pain. Therefore, parents don't have to worry about this. Actively cooperating with the doctor will help to find the baby's abnormal situation and intervene as soon as possible.
2 baby's hearing test.
Check the baby's response to sound within three days after birth, mainly through professional hearing testing equipment.
If the baby passes the first examination, it needs to be rechecked in about one month; If the baby fails the first examination, parents don't have to worry. Generally, most babies will pass the examination. If it still fails, more professional hearing tests are needed to accurately judge whether the baby has hearing impairment.
3. The third physical examination
Time: 28-30 days after the baby is born
Items: Routine and infant development examination.
It is very important to check the baby at 28 days or full moon.
After a month of cultivation, it is mainly to check the baby's development and feeding, which will also affect the baby's vaccination.
This examination is very comprehensive, mainly including height, weight, breathing, heart rate and the development of various parts of the body.
① Height and weight: directly reflect the baby's development in this month. Generally, the height of newborns will increase by 2-3 cm at the full moon. According to the introduction of pediatrics, after the baby is full moon, the normal full-term baby will gain about 1- 1.7 kg.
② Head circumference: It can reflect the baby's brain capacity and skull development;
③ Chest circumference and chest fluctuation: It can reflect the baby's lung breathing and the development of sternum;
4 limb examination: you can see the development of the baby's limbs and the strength of the limbs, including nerve reflex.
⑤ Umbilical cord stump: Newborns generally fall off at the 3rd-4th week after birth. Umbilical cord stump should be well cared for before falling off to avoid infection. So the baby should also check the umbilical cord when it is full moon.
⑥ Check genitalia and anus: mainly to see if there is any developmental deformity.
This is the answer to this question. Generally, there will be a 42-day review 42 days after delivery, and the mother will take the baby to check together. Many mothers think that the baby will have a prenatal examination at the full moon, and then they can skip the prenatal examination. Just decide according to your actual situation. I hope my answer can help you.
Newborns have three essential routine physical examinations. I wish you a good baby. For the healthy growth of the baby, the three-stage examination of the newborn is essential.
Mom and dad need to know clearly in order to help you raise your children better.
First physical examination: 2 days-the genetic disease screening doctor will take blood samples from the baby's soles and arrange the examination items.
The key detection items here are: ketonuria, congenital hypothyroidism and so on.
Attention! ! ! Usually the nurses here will ask:
"Is it necessary to increase the cost (at your own expense) to screen more genetic diseases?"
My advice is not to waste money.
Second physical examination: 28 days later-the baby's routine physical examination mainly includes eye, ear, mouth and nose examination. These are some important indicators of neonatal growth and development.
The indicators of a normal baby at this stage are: height 47-55cm and weight 3-4Kg.
The third physical examination: 42 days later-examination of nervous system, blood routine and trace elements. At this time, besides the routine growth and development such as height and weight, we should also check the nervous system. This examination is an important means to detect the brain development and intellectual development of the baby after birth.
At the same time, there are routine blood tests and routine examination of trace elements, and babies who are breastfed normally will pass.
After these three tests, the baby will grow up healthily, happily and healthily in the future ~
2 days
Physical examination of newborn baby
48 hours after the newborn was born and ate, a small amount of blood was drawn from the heel and dripped on a special filter paper. After drying in the shade, seal the bag and send it to the screening center for examination, so that congenital hypothyroidism and phenylketonuria can be detected. Some hospitals with good conditions can check more items.
28 days
Physical examination of newborn baby
Measuring height and weight: this is an important index to understand the growth and development of newborns. Full-term newborns are 47.53 cm tall and weigh more than 2,550 grams, with an average of about 3,000 grams.
Head: Observe the size and shape of the newborn's skull, touch the baby's scalp, and feel the size of the bone seam, the tension of the fontanel and the presence or absence of hematoma.
Eyes: put the red ball about 20 cm away from the eyes, move the red ball horizontally, and observe whether the baby's eyes can catch up with the red ball.
Auricle: The auricle of full-term newborns is well developed and straight.
Neck: whether there is torticollis and whether the activity is free. Touch both sides symmetrically with your fingers from inside to outside to feel whether there is a clavicle fracture.
Chest: Observe whether the two sides of the chest are symmetrical, whether there are bulges, whether the breathing movements are coordinated, the frequency should be 30.45 beats/min, and whether there is dyspnea. Listen to the breathing in the lungs with a stethoscope.
Abdomen: first look for gastric peristalsis and intestinal type, and then gently touch it with your hand to feel whether there is abdominal distension and mass. There is no omphalocele in umbilical region and no swelling and exudation in stump.
Hip: whether the skin is smooth, pay attention to whether there is spina bifida.
Genital and anus: pay attention to whether there is deformity and whether the testicles of the baby boy descend to the scrotum.
Limbs: whether there are multiple fingers or fingers (toes) and whether the thighs can extend horizontally, and whether there is congenital dislocation of hip joint.
42 days
Physical examination of newborn baby
Weight: it is an important indicator to judge the baby's physical development and nutritional status. It is best to measure your weight when your baby defecates on an empty stomach, and try to take off your clothes, shoes and hats. The measured data should be subtracted from the weight of the clothes and diapers worn by the baby.
Height: It is a main index of baby's bone development. People's height is influenced by many factors, such as heredity, endocrine, nutrition, disease, exercise, etc., so we must ensure that the baby's nutrition is comprehensive and balanced, get enough sleep, and maintain a certain amount of activity every day.
Head circumference: it reflects the baby's brain development and brain capacity, and is also an important indicator of the baby's physical development. The size of a baby's head circumference, like its weight and height, has a normal range. Contrary to what some people think, a baby with a big head must have a developed brain and be smarter than other babies. It is not normal for a baby's head circumference to grow too fast or too slow. For example, when a baby is born, the head circumference is smaller than normal, and then the head circumference grows slowly or even stops growing, so it is necessary to doubt whether there is the possibility of brain dysplasia or head deformity.
Chest circumference: evaluate the development of baby's chest, including the development of lungs and chest, as well as the development of chest and back muscles and subcutaneous fat. The size of the baby's chest circumference is related to physical exercise and nutrition. Therefore, new mothers should often give their babies passive exercise and exercise their bones and muscles. For example, breast enlargement can promote the development of baby's chest muscles and promote the development of chest and lungs.
Evaluation of developmental intelligence: to know whether the baby's intellectual development is at a normal level. Doctors will use some methods to measure the baby's intellectual development. If in doubt, they will further evaluate the baby's intellectual development through neuropsychological tests. For infants with mental retardation, corresponding intervention measures can be taken in time for early rehabilitation.
Do you understand the three routine physical examinations necessary for newborns? After a newborn is born, there will be many physical examinations, among which three routine physical examinations are essential. Expectant mothers can learn more about it. First of all, the newborn refers to the period from the birth of the baby to 28 days after the umbilical cord is cut. During this time, babies in different situations have different routine physical examinations.
So what are the three essential physical examinations after the baby is born?
The first physical examination was the moment when the baby was born, and the umbilical cord was cut in the delivery room.
The first cry of a newborn with lung function is very important. After the newborn cries, it shows that the lung function is working normally. So some babies will be spanked by nurses when they don't cry. In the future, the baby's nose and mouth will be cleaned with instruments to ensure that the baby can breathe normally.
Apgar Newborn Scoring Examination A apgar Newborn Scoring Examination is needed after the baby is born 1-5 minutes, mainly to check the skin color, heart rate, reflex stress, muscle tension and breathing of the newborn, so as to judge whether the newborn has adapted to the external living environment.
After the routine physical examination, it is necessary to give the newborn some basic physical examinations, such as weight, measuring body length, recording the baby's birth time and other information. The second physical examination is the time when the newborn follows his mother to the inpatient department until he is discharged.
Daily check-up During the hospitalization of the newborn and the new mother, the nurse will come to check the newborn every day. Draw blood, understand the newborn's milk drinking, whether there is defecation, and observe the newborn's jaundice and other basic examinations.
Hearing screening hearing screening is a compulsory examination for newborns before discharge, and it is a free examination. Mainly to check the hearing of newborns.
Foot blood test Every newborn must draw enough blood for testing, check whether the newborn has congenital genetic diseases, and screen whether it is phenylketonuria and congenital hypothyroidism. Newborns should be treated as early as possible when they find problems, which will have a very good effect on later treatment. If it is not diagnosed early and found late, then the baby may be disabled for life in the future. The third physical examination is the full moon physical examination of the newborn.
Newborns can go to the hospital where they were born or the local community health center for physical examination after the full moon, and this kind of physical examination is free, so new mothers can take care of their babies on time.
The weight and length of the first physical examination are relatively simple, that is, some weight and length checks. Mainly to understand the development of newborns and whether it is necessary to increase nutrition. Generally speaking, full-term newborns are 47.53 cm tall and weigh more than 2,550 grams, with an average of about 3,000 grams. The baby is normal at the standard value. If it exceeds or falls below the standard value, it is necessary to adjust the feeding method appropriately.
Head circumference and halogen door size mainly observe the development of the shape and size of the baby's head. And check the tension of halogen door, whether there is hematoma.
Body surface examination Body surface examination is to observe the baby with naked eyes for abnormalities, such as body temperature, pulse, abdomen, limbs and so on.
Feeding, defecation and infant feeding are also the focus of the examination. Need to know the baby's feeding method, whether it is pure breast milk or mixed feeding, whether it is normal to eat, whether it is abnormal, etc.
1. Newborn means that within 28 days of birth, I am a medical student, and I will have a physical examination before birth. If there are any abnormalities. Jaundice check, infectious disease check, and so on!
2. Check one month after birth or 42 days after birth.
3. The specific situation is treated specifically, so you must go to a regular hospital for examination!
2-day physical examination for newborn babies
28-day physical examination for newborn babies
42-day physical examination for newborn babies