Examination by doctors at 9 months. Clinical examination of children in the first year of life: what is this procedure
Your baby was born and, if everything is in order, on the third day he can go home with you - it is at this time that the discharge from the hospital after an uncomplicated birth usually occurs. Within three days after discharge, your local pediatrician will visit you with the baby. The first month is the period of adaptation of the baby to the extrauterine conditions of existence, therefore, regular examinations are so important during this period. The visits of specialists - a doctor and a nurse - will be carried out approximately once a week during the entire first month of the child's life.
During each patronage visit, specialists will carefully examine the newborn so as not to miss any congenital abnormalities, as well as assess how the child is adapting to new living conditions outside the mother's womb. During such visits, they will explain to you how to properly care for your baby: how to treat the umbilical wound, how to bathe a newborn, how to feed and swaddle him, and, if necessary, will give you recommendations for correcting feeding.
After the baby is 1 month old, they are already waiting for you with him in the clinic. In any children's clinic there is a "baby day" - certain days and hours set aside so that mothers with healthy babies up to one year old can undergo a routine examination by doctors. At this time, a neurologist, an ophthalmologist and a traumatologist-orthopedist work together with a pediatrician - these are the specialists who need to show the baby when he is one month old. Now your baby has passed the 1-month mark - examinations are now also important, but they need to be done a little less often. It is now possible to show the baby to specialists less often, and after examination by all doctors, it will be mainly a pediatrician who will monitor the development of the baby.
Why visit doctors so often? The answer is simple - in the first year of life, most of the congenital pathologies appear, which must be diagnosed and corrected in a timely manner. In addition to examinations, the baby will need to undergo a series of studies and tests. They reveal those features of the child's development that are not visible during a routine examination. Here's what they are for:
- Neonatal screening of newborns is a diagnostic study that allows you to identify babies at risk for various congenital diseases
- Audiological screening - detects abnormalities in the development of hearing organs
- Brain ultrasound (neurosonography) - detects malformations of the brain, measures intracranial pressure and blood flow velocity in the hemispheres
- Ultrasound of the heart - reveals the pathology of the development of the cardiovascular system
- Ultrasound of internal organs - reveals the pathology of the development of the abdominal organs
- Ultrasound of the hip joints - diagnoses congenital dysplasias, dislocations and subluxations of the hip
- Complete blood count - detects diseases of the hematopoietic organs and other pathologies
- General urine analysis - detects abnormalities in the work of the urinary organs; urinalysis for sugar reveals a child's predisposition to diabetes
- Stool analysis - detects diseases of the digestive system, infections and other disorders; analysis of feces for carbohydrates diagnoses lactase deficiency
It is not at all necessary to remember when and which doctors you need to visit - experienced specialists will remind you every time when you and your baby need to appear next time. However, it is still worth familiarizing yourself with the Calendar of visits to the doctor * - it will help you not to worry about your baby and feel confident.
| Child's age | Examinations by specialist doctors | Laboratory, functional and other research |
|---|---|---|
| Newborn | Pediatrician | Neonatal screening for congenital hypothyroidism, phenylketonuria, adrenogenital syndrome, cystic fibrosis and galactosemia; Audiological screening |
| 1 month | Pediatrician Neurologist Pediatric surgeon Ophthalmologist | Ultrasound examination of the abdominal organs cavities, heart, hip joints Neurosonography Audiological screening |
| 2 months | Pediatrician | |
| 3 months | Pediatrician Neurologist Traumatologist-orthopedist | General blood analysis General urine analysis Audiological screening |
| 4 months | Pediatrician | |
| 5 months | Pediatrician | |
| 6 months | Pediatrician Pediatric surgeon Neurologist | General blood analysis General urine analysis |
| 7 months | Pediatrician | |
| 8 months | Pediatrician | |
| 9 months | Pediatrician | General blood analysis General urine analysis |
| 10 months | Pediatrician | |
| 11 months | Pediatrician | |
| 12 months | Pediatrician Neurologist Pediatric surgeon Children's dentist Ophthalmologist Otorhinolaryngologist Children's psychiatrist | General blood analysis General urine analysis Blood glucose test Electrocardiography |
Regardless of the state of health of the baby, a variety of specialists are often examined and a trip to the clinic should become the most common thing in the first year of a child's life. In the article, we tell you which doctors a child needs to undergo under one year old.
Mom does not need to worry in vain: the passage of doctors is necessary in order to understand exactly how the child develops, because many diseases can be recognized already at that age and quickly cured. In addition, after the consultation, doctors will issue a conclusion about the baby's health and the necessary recommendations for care.
The very first doctor for a newborn
The very first doctor of a newborn is, of course, a neonatologist (from the Greek "neos" - new and "natus" birth). It is this specialist who is the first to examine a newly born child and the first 28 days of life (the so-called neonatal period) are also under his patronage.
The doctor must assess the baby's health by 5 indicators on a scale from 0 to 2 points, then these figures are summed up. This is the so-called. Then from hepatitis and tuberculosis (if there are no serious contraindications). The baby is gently washed, while removing the lubricant from the skin. Also, the baby needs to cleanse the nasal passages of mucus, measure the height, weight and size of the head, rinse the eyes, and the girls still rinse the perineum. The skin of the baby should be treated with a special sterile oil, and a tag with the data of his mother should be attached to the handle, so that later not to be confused with other newborns.
Immediately before discharge from the child, blood is taken from the heel for the presence of 5 hereditary diseases: cystic fibrosis, phenylkentonuria, galactosemia, congenital hypothyroidism and adrenogenital syndrome.
The neonatologist constantly monitors the condition of the newborn: skin color, rhythm and depth of breathing, heart rate, general mobility and other indicators. In the first day of a baby's life, he is carefully examined twice: at birth and after a few hours. The process of adaptation in a newborn goes quickly and after a couple of hours you can understand what his neurological status is, how developed his reflexes are, and find out if there are any congenital pathologies. Immediately before discharge for 5 hereditary diseases: cystic fibrosis, phenylkentonuria, galactosemia, congenital hypothyroidism and adrenogenital syndrome.
Doctors for a baby in the first months
During the first weeks of your baby's life, the health visitor will visit your home every week. There must be at least 2 and no more than 5 visits. The doctor must examine the child every time, check reflexes, and learn. He should also familiarize himself with the discharge from the hospital and find out how the birth went. Both him and the nurse can be asked about breastfeeding.
In the first month you need to visit:
Pediatrician
Regardless of the baby's state of health, when he turns 1 month old, he will need to visit a pediatrician with him in a children's clinic. It is better to prepare for such a visit in advance: make an appointment at the reception on a convenient day for you, write the accumulated questions.
On the first visit, anthropometric measurements of the baby will be carried out, the doctor will compare the results with those that were at birth. You will receive recommendations on the baby's nutrition and regimen. In addition, you will be referred for your next vaccination (for hepatitis B).
Pediatric neurologist
A visit to a neurologist is necessary for an adequate and correct assessment of muscle tone and neurological status of the baby. It is also important here that as the newborn grows, some innate reflexes disappear, and acquired ones appear in their place. This must be monitored and taken into account. If necessary, the doctor will prescribe gymnastics and massage, the techniques of which will be shown to you either by himself or by the nurse.
Orthopedist and surgeon
In the first months of the development of the newborn, it is necessary to monitor the development of the joints. Sometimes an ultrasound scan of the hip joints is prescribed, since they play an important role in the physical development of the newborn, especially when he learns to walk.
Oculist
The doctor will evaluate the baby's ability to focus on a specific close object and the mobility of the eye muscles.
Cardiologist
The cardiologist is an extremely important specialist, whose consultation cannot be missed. The doctor will carefully listen to the heart, check for murmurs. The fact is that this symptom is quite common at this age and passes over time. But in case of heart murmurs, in any case, a more detailed examination will be prescribed.
Visiting doctors at 3 months
At this age, the process of adaptation of the child to the outside world is completely finished. It is necessary to visit the pediatrician, orthopedist and neurologist again. By this time, it will be necessary to pass some tests (as prescribed by the pediatrician). For example, based on the results of a blood test, a pediatrician decides whether to send his little patient for a routine DPT vaccination.
All 3 doctors will also make a final conclusion about the presence of possible pathologies. They may recommend a course of physical therapy or massage to correct muscle tone. Based on the results of blood and urine tests of the child, the pediatrician will decide whether he can get the first routine DPT vaccination. It is also necessary to discuss with him the possibility of visiting the pool, which is very useful for the development of the baby and for the mother herself.
Visiting doctors at 6 months
The time has come for the last vaccinations against polio and DPT. In addition, it's time for the baby to introduce complementary foods. For consultation on these issues, you need to visit a pediatrician again, who will give a referral to the dairy kitchen. There you can get fresh baby curds, kefir, juices, fruit purees.
Visiting doctors at 9 months
Mom must show the child again to the pediatrician. This time it will be a doctor with a new specialization for the baby - a dentist. It's time to examine the child's mouth for correct bite formation. At about this age, teeth begin to erupt, while milk teeth. This should also be observed by a pediatric dentist. A visit to a surgeon is also recommended.
When the baby finally turns 1 year old, such close attention of doctors is no longer needed. By this time, basic vaccinations should be made, complementary foods introduced. But we still need to make a final conclusion of all the specialists passed and get a health group.
The pediatrician, in addition to examining the baby, gives direction to the Mantoux reaction. If the test is positive (this is something like a residual reaction to the BCG vaccine), then an additional examination of the baby is necessary. A referral for fluorography of both parents is also issued.
The next preventive examinations will be at 1.5, 2 and 3 years.
In this article:
From the first moments of life, a newborn is faced with many medical procedures. Even a healthy baby is not spared this fate - from birth he is constantly monitored, body parameters are measured, and the development of organs and systems is studied. Doctors at the age of 1 month of a child's life try to identify all pathologies in the child's body: congenital malformations and beginning diseases. Many problems diagnosed early are easier to treat.
After leaving the walls of the hospital, the newborn comes under the close attention of a pediatrician and a local nurse at home. The first examination of the child at 1 month will take place in the children's clinic. The pediatrician will not only examine the little patient, but will also tell the young parents what kind of doctors a newborn needs to undergo at 1 month.
Medical examination of a newborn in the first month of life
The first visit to the newborn by the doctor takes place the day after discharge from the hospital. The pediatrician will come without a special call: the hospital staff will inform the hospital about the arrival of the newborn at the place of residence. In the first month of life, the specialist will come to the baby once a week. If the child's condition raises any concerns (for example, the baby has a cold or is not breastfeeding well), visits will be more frequent. The district nurse will also visit the newborn - also up to 4 times during the month.
For the arrival of the pediatrician, you need to prepare in advance, write down all the questions that are of interest to the young mother at the moment, so as not to forget anything. The doctor should be comfortable examining the child. As a rule, during the examination, the baby should be completely undressed, since the specialist needs to assess the condition of his skin and mucous membranes, heart rate and respiration, muscle tone and reflexes.
During the visit, the doctor advises the young mother on nutrition and baby care. Later, the specialist will invite the parents with the baby to the clinic for a routine examination of the baby at 1 month.
The first examination by a pediatrician in a polyclinic is the most interesting for young parents. During it, the doctor will not only examine the baby, but also carry out a control measurement and weighing the baby. Most often, in the first month of life, babies gain 500-700 grams and add 2-3 cm in length. After the examination, the district nurse writes out referrals for consultations of narrow specialists, analyzes and additional examinations, as well as in the vaccination room.
What kind of doctors do you need to undergo?
The list of doctors who need to go through a newborn at 1 month is not small.
Neuropathologist
The main task of the neuropathologist is to monitor the neuropsychic and mental development of the child, as well as to control his motor activity. At 1 month old, a neurologist checks the presence of congenital reflexes and their gradual fading in a child. An increased or, on the contrary, decreased muscle tone may be found in a baby, which will become the basis for prescribing a baby massage.
If in doubt, the doctor will prescribe a referral for an ultrasound of the brain. You need to undergo an examination immediately, while the child's fontanelle remains open. In the future, the doctor will evaluate the development of new skills by the baby, for example: the ability to smile, roll over, sit, climb on all fours and much more.
Oculist
For the first time, an ophthalmologist will examine a newborn in the maternity hospital for congenital eye pathologies. A scheduled examination of the baby at 1 month will allow the specialist to examine the fundus of the baby, the condition of his lacrimal glands and assess the tendency to squint and other visual impairments. The doctor will check if the baby can focus his gaze on a particular object. During the examination, the eyelid and obstruction of the lacrimal ducts are most often diagnosed.
Often the diagnosis of a neurologist depends on the diagnosis of an ophthalmologist - in recent years, many children in the first year of life have certain problems with the vessels of the brain and fundus.
ENT
A medical examination of a child at 1 month necessarily includes a visit to an otolaryngologist. A child at this age will have to undergo otoacoustic testing for the first time. It does not hurt at all and is safe for the baby. The specialist will use a special device to check the child's hearing, as well as examine the tonsils and nasal passages.
During the examination, the ENT doctor may reveal the following problems in the baby:
- hearing impairment, complete absence of any reaction to sound stimuli;
- sulfur plugs;
- difficulty or absence of nasal breathing;
- ear pain, otitis media;
- foreign bodies in the ENT organs.
Also, a specialist can advise a young mother about why her child is bad or refuses to suck from a bottle: this may be due to ear pain. If everything is in order, then the next examination by an ENT doctor is not expected soon - at 12 months.
Surgeon
The surgeon assesses the child's reflex development, the presence of muscle hypo- or hypertonicity, diagnoses umbilical and inguinal hernias. In male infants, the external genital organs are carefully examined to exclude pathological conditions such as cryptorchidism, dropsy and non-prolapse of the testicles into the scrotum, hypospadias.
Also, the surgeon can note deviations in the structure of the newborn's body. Most often, anomalies such as lymphangioma, vascular and internal organ damage are detected. If necessary, the specialist gives a referral for a massage for children or explains how to work with a child at home, which muscle groups it is important to pay attention to.
Orthopedist
An orthopedist examines a 1-month-old child in a polyclinic, assessing the development of his musculoskeletal system. A doctor may detect conditions such as clubfoot, congenital dislocation of the hip, dysplasia, or underdevelopment of the hip joints. Dysplasia should be detected as early as possible, until the baby has learned to stand up. To exclude this diagnosis, almost all children are prescribed an additional ultrasound of the hip joints.
During the examination, the orthopedist will carefully examine the newborn, actively bending and pushing his legs to the sides and performing other manipulations. The kid may not like this approach, but this is important, since the doctor can detect a variety of pathologies of the development of the musculoskeletal system. For example, torticollis, in which the child can only turn the head in one direction. Also, the specialist will give recommendations on home gymnastics and the treatment of dysplasia, which must be followed.
Vaccination room
If the newborn in the hospital received all the necessary vaccinations, then at 1 month you need to do another one - from hepatitis. The vaccine is injected into a large muscle of the baby - the buttock or lower leg. Before visiting the vaccination office, it is imperative to show the child to the local doctor. The pediatrician will assess the readiness of the body for vaccination, exclude the presence of infections. Vaccination can be carried out only under the condition of absolute health of the newborn.
Additional examinations
Tests for a newborn at 1 month must be taken. As a rule, this is a complete blood and urine test. To carry out tests for a newborn at 1 month, you need to collect any portion of urine, preferably the first morning.
Unfortunately, this is not always possible with such young children, as newborns urinate more often than adults. Therefore, it's okay that a portion of urine for testing in newborns at 1 month will not be the first, no. The most important thing is to wash your baby well before collecting urine. For convenience, you can use a special urine collection bag. Blood for analysis of a newborn 1 month old can also be taken at any time, regardless of the meal.
As an additional examination of a newborn at 1 month, the doctor prescribes an EKG (electrocardiogram), the purpose of which is to diagnose diseases of the heart and blood vessels, in particular, to exclude heart disease, cardiopathy and much more.
Screening a baby at 1 month includes an ultrasound examination of the brain and hip joints.
It is prescribed for all children who have reached 1 month to identify abnormalities in the nervous system. The first ultrasound examination is mandatory, in the future they can be prescribed by a neurologist at his own discretion.
Ultrasound of the brain is most relevant in patients after complicated pregnancy and childbirth, with low results in terms of neuropsychic and physical developmental delays, with hypo- or hypertonicity of the muscular system.
Ultrasound examination of the hip joints is also mandatory for all newborns. The study helps to timely diagnose congenital hip dislocation and hip dysplasia. Treatment of these pathological conditions is effective only in the first year of life, while the baby has not yet begun to get up and walk on his own.
Of course, the observation of a newborn in the first month of life and his first visit to the clinic to a pediatrician and narrow specialists is a very important moment in the life of the baby and his parents. The latter can once again make sure that their child grows and develops according to age.
If any deviations are identified, there is no need to panic and sound the alarm. Most pathological conditions are successfully treated in the first year of life, the main thing is not to delay the prescribed treatment and follow all the doctor's recommendations.
Useful video about the examination of a baby by a pediatrician
The first year of a child's life is perhaps the most important stage. Ripening of organs and systems takes place, the "foundation" of health is laid for life. To assess the development of the baby, to timely identify deviations and diseases in the early stages, routine preventive examinations are carried out.
Medical examinations: what do the regulations say?
The procedure for conducting mandatory preventive examinations for children of all ages is established by Order of the Ministry of Health of the Russian Federation N 514n of August 10, 2017.
The document entered into force on 01/01/2018. The order regulates the passage time, the minimum list of studies and examination by specialists at all stages of growing up.
We'll talk more about baby monitoring.
Medical supervision of a child in the first year of life
|
Age |
Doctors specialists |
Research and analysis |
|
Newborn |
* Neonatal screening is performed to identify pathologies: congenital hypothyroidism, cystic fibrosis, phenylketonuria, galactosemia and adrenogenital syndrome * Audiological screening |
|
|
1 month |
Ophthalmologist (ophthalmologist) Pediatric surgeon Children's neurologist Children's dentist |
* Ultrasound of the abdominal cavity and kidneys * Ultrasound of the hip joints * Echocardiography * Neurosonography * Audiological screening |
|
2 months |
* Complete blood count (CBC) * General urine analysis (OAM) |
|
|
3 months |
Traumatologist-orthopedist |
Audiological screening |
|
From 4 months to 11 months |
Pediatrician - once a month |
Research and analysis are not carried out |
|
12 months |
Pediatric surgeon Neurologist Otorhinolaryngologist (ENT) Traumatologist-orthopedist |
OAK, OAM, electrocardiography (ECG) |
Examinations by specialists
In the first year of life, the baby is under the close attention of doctors: development is monitored, nutritional recommendations are given, treatment is prescribed when diseases are detected, etc.
Pediatrician
He is the main doctor in the life of every child.
In the maternity hospital
The baby is examined by a neonatologist immediately after birth, then every day throughout the entire period of being in the maternity hospital. The doctor monitors the adaptation of the baby to new living conditions, excludes congenital or hereditary diseases, and, if necessary, prescribes treatment.
After discharge from the hospital, the child is monitored by a pediatrician:
* in the first month of life, the doctor examines the baby at home;
* starting from the age of 1 month, you and your child visit the doctor at the clinic every month.
Examination by a pediatrician at home in the 1st month of life
The doctor assesses the general condition of the baby and determines his health group. The doctor gives advice on breastfeeding, tempering and hygiene procedures, and conducts discussions on breastfeeding. If diseases are detected, treatment is prescribed.
Monthly visit to the pediatrician at the clinic
During each preventive examination, the child's height and weight, head and chest circumference are measured, the condition of the large fontanelle and cranial sutures is assessed.
The pediatrician examines the skin, with the help of a phonendoscope, he listens to the lungs and heart of the crumbs. Determines the health group, the correspondence of the physical and mental development to the age of the baby. Identifies the likelihood of developing certain diseases in a child.
The pediatrician assesses the skills acquired by the child in the first year of life: the ability to hold the head, sit, crawl and walk, walk, pronounce syllables and words, and eat independently.
Oculist
Checks how the child focuses on objects, the patency of the nasolacrimal canals and examines the fundus.
Pediatric surgeon
Timely diagnoses of an inguinal or umbilical hernia, hip dysplasia.
Examines the genitals. Detects some diseases in boys: phimosis (narrowing of the foreskin - folds of skin covering the glans penis), cryptorchidism (undescended testicle into the scrotum) and / or dropsy of the testicles.
Pediatric neuropathologist
Checks reflexes and skills acquired by the baby, determines muscle tone and identifies possible movement disorders.
Assesses the condition of the cranial sutures, the large and small fontanelles, the correspondence of neuropsychic development to the child's age.
Traumatologist-orthopedist
Monitors the development of the baby's musculoskeletal system. Eliminates or reveals hip dysplasia, congenital muscle torticollis, clubfoot and other pathologies. With timely diagnosis, these conditions, as a rule, respond well to non-surgical treatment.
Children's dentist
Checks the condition of the frenum of the tongue - the folds of the oral mucosa, which complements the attachment of the tongue to the floor of the mouth. Sometimes the bridle is shortened, which can lead to a violation of sucking, swallowing, chewing, pronunciation of sounds and diction. If the bridle is shortened, it is trimmed.
Otorhinolaryngologist
Examines the child to identify congenital malformations of the nasal and oral cavity, pharynx, auricle, outer and middle ear.
Research and analysis
They are carried out for the diagnosis of many diseases in the early stages and congenital malformations.
General blood analysis
Helps to identify anemia, inflammation in the body, blood clotting disorders.
General urine analysis
It allows you to assess the work of the kidneys, detect inflammation in the urinary tract, and suspect certain diseases (for example, diabetes mellitus).
Audiological screening
Hearing is examined using a special device. It is performed in the hospital on the 3-4th day of life or before discharge.
If, for any reason, screening was not passed in the maternity hospital or hearing impairment was found, the child is discharged with recommendations for audiological screening at the polyclinic.
If hearing impairment is re-identified, the child is sent to the audiological center for additional examination and treatment (hearing aids, classes with a deaf teacher). Purpose: to carry out the correction in time in order to prevent the baby lagging behind in speech and mental development.
Neonatal screening
Blood is collected from the heel on the 4th day of life in full-term babies, on the 7th day - in premature babies. If, for some reason, screening was not carried out in the hospital or there is no data, the test is performed in the clinic until the age of 1 month.
The study allows diagnosing five serious diseases: congenital hypothyroidism, cystic fibrosis, phenylketonuria, galactosemia and adrenogenital syndrome.
With the timely detection of ailments and the appointment of treatment (drugs, diet), children develop normally.
Neurosonography
A study of the brain is carried out using an ultrasound apparatus through the large fontanelle. The painless and safe method helps to identify brain cysts, intracranial injuries, cerebral hemorrhages, abnormalities in the development of the brain.
Ultrasound of internal organs and kidneys
The method makes it possible to look inside the body. The liver, spleen, pancreas, gallbladder and its ducts, kidneys and bladder are examined. The study helps to determine the size, evaluate the function and identify congenital anomalies in the development of internal organs.
Ultrasound of the hip joints
It is carried out for the timely diagnosis of hip dysplasia - an abnormal development that can / has led to dislocation or subluxation of the femoral head (congenital dislocation of the hip).
Electrocardiography
Allows you to register impulses that occur during the work of the heart, which are recorded on paper in the form of a jagged graph.
With the help of an ECG, it is possible to identify violations of the heart rhythm, formation and conduction of an impulse.
Monitoring a baby in the first year of life: where is better?
Routine medical examinations are carried out free of charge at the local polyclinic - an undeniable advantage.
However, in this case, you and your child will have to stand for more than one hour in queues, even if there is a preliminary appointment.
In addition, not only healthy, but also sick adults / children visit the clinic. Your baby may face, for example, a viral infection, and the next monthly routine check-up runs the risk of developing a fever, runny nose and cough in the child.
When contacting a private medical center, discomfort for the baby and parents is minimized, there are no tedious queues, you can choose a convenient time to visit.
Based on the standard observation program, an individual approach to each child is developed. The kid gets a personal pediatrician who can be consulted 24 hours a day.
P. S. Order of the Ministry of Health of the Russian Federation regulates the mandatory minimum of medical examinations. If deviations are detected, additional studies and consultations of specialists who are not included in the generally accepted observation scheme are prescribed.
doctor-resident of the children's department
Immediately after the baby is born, it is examined by pediatricians, neurologists and neonatologists. This is necessary for all children. At this stage of life, doctors pay attention to the reflexes and skills of the baby. After discharge from the maternity ward, all documents for your child are transferred to the children's clinic. It is here that over the next years the baby will be monitored. Many mothers are worried about what kind of doctors are newborns at 1 month. After all, it is at this age that the first trip to a medical institution is made.
This article will tell you about how the physical examination takes place in the 1st month. Which doctors to undergo will be described below. You will also learn the basic nuances of such medical procedures.
Medical examination of a newborn in the first month of life
Which doctors to undergo in 1 is always told by the visiting nurse. Before going to the clinic, the baby should be examined at least twice at your home. In most cases, the doctor visits a small patient in the first week after discharge from the maternity hospital. After 2-3 weeks, the nurse visits. It is she who talks about the need to go through certain doctors.
It is worth noting that both health workers must examine the child. The doctor uses a stethoscope to listen to the lungs and heart. The nurse examines the skin, reflexes and skills of the baby. In addition, patronage marks the living conditions in which the child lives. If new parents have any questions, then doctors always give answers and help with advice.
What kind of doctors do you need to undergo in 1 month?
So, your baby is about 5 weeks old. It’s time for some experts to appear. For a start, it is worth visiting a pediatrician or approaching a nurse. She will write you the necessary directions for examination. If your clinic provides for the issuance of coupons, then you need to take care of getting them in advance.
Which doctors you need to go through in 1 month depends entirely on your baby. For a healthy child, this will be a neurologist, ophthalmologist and pediatrician. You will also have to get tested and visit the vaccination office. When the crumbs have congenital pathologies, the list of specialists can expand. Let's try to figure out how the child goes in the first month of life.
Surgical room
What doctors do you see in 1 month? One of the first on the list of specialists is the surgeon. The doctor always examines the undressed child. That is why it is necessary to take a diaper with you to the consultation.
The doctor examines the skin. They must be clean. After that, the surgeon probes the baby's lymph nodes in the armpits, groin, neck and back of the head. An increase in these areas should not be noted. Next, the belly is probed. It should be soft and painless. However, many children at this age have intestinal colic. This is noted on the map, but, as a rule, is not considered a dangerous pathology.
Orthopedist
What doctors do you see in 1 month? The child must be shown to an orthopedist. Also, the doctor prescribes to all babies. Depending on the work of the clinic, the diagnosis can be carried out directly by an orthopedist or another specialist. However, you need to go to the doctor's appointment with the obtained research result.
The orthopedist examines the baby's legs and pelvis. The limbs should be the same length. The feet are also evaluated in the staging. However, at this age, this indicator is not focused on. An orthopedic examination is necessary in order to exclude hip dysplasia. It is this pathology that is often found in newborn babies.
Neurological office
What doctors are undergoing in 1 month yet? Not the least on this list is the neurologist. Before going to the doctor, you need a head called neurosonography. This study allows you to assess the blood flow to the brain and mark possible pathologies.
A neurologist evaluates the baby's physical activity. The doctor also checks reflexes. Quite often, neurologists prescribe a kind of treatment for children. Some babies really need it. Do not refuse correction, because the lack of treatment can lead to serious pathologies in the future.
Oculist
What other doctors pass in 1 month? An optometrist is on the mandatory list. Of course, the baby will not yet be able to name the letters and thereby show his eyesight. However, the doctor can measure the baby's eye pressure and examine the organs of vision.
Some babies develop eye problems after birth. Pathologies such as dacryocystitis, conjunctivitis and so on appear. It is these diseases that the doctor can identify at an early stage of development. Timely correction will help avoid vision problems in the future.
Vaccination room and the first vaccine in the clinic
If your child was vaccinated in the maternity hospital, then another one should be given in one month. This is the hepatitis vaccine. The drug is injected into the baby's muscle. For this, the shin is predominantly selected.
Remember to visit your pediatrician and get permission before getting vaccinated. The doctor should measure the temperature of the baby, examine its throat and listen to the lungs. The vaccination is done only when the baby is completely healthy.
Additional diagnostics of the health of a newborn child
What other specialists do you need to go through with a month-old baby? All children need to check their ears without fail. For this, a special ultrasonic device is used. The instrument is directed into the ear of the baby and receives a reflection from the eardrum. Such a device allows detecting deafness in a baby already in the first month of life.
Also, the baby needs to do an ultrasound examination of the abdominal cavity in one month. It will allow you to evaluate the work of organs and exclude possible pathologies. diagnostics are performed strictly on an empty stomach. Before the examination, the child should not be fed for 2-3 hours. Otherwise, the result will be distorted.
Blood and urine tests are also performed at the age of one month. In this case, you can collect any portion of urine, it is not necessary to use the morning one. Remember that the baby needs to be washed before taking the material. Use a urine bag for convenience. Blood can also be donated after meals. Surely a child at this age eats exclusively breast milk or an adapted formula.
Summarizing
You have learned which doctors you need to go to with your baby in the first month of life. Remember that such studies help to identify pathologies and start correcting them as early as possible. Never give up going to the children's clinic. Regularly undergo examinations and follow the recommendations received. Also try to adhere to the prescribed vaccination schedule. This approach will help you avoid health problems for your baby. If you have any questions, please contact your local pediatrician. Health to your child and correct development!