Monthly examination of a child up to one year old. Calendar of visits to doctors in the first year of a child's life
In the maternity hospital, the newborn is carefully looked after by neonatologists. And many mothers (especially if the child is the first), are disturbed by the thought: what will be at home? Do not worry - you will not be left without a doctor's supervision. In the first month of the baby, the district pediatrician and nurse will visit several times. And in the second month of life, you will come to your first routine check-up.
So the month has flown by!
And this means that it is time to go to the clinic for examination by a pediatrician. For a preventive examination of healthy children in the clinic, one day is allotted, it is called that - infants. Such an organization allows healthy babies not to intersect with sick ones in common corridors. In the office, the doctor will examine your baby, measure the circumference of the head and chest with a measuring tape, weigh and calculate the increase in body weight over the past month. If the baby has gained very little, the doctor will ask questions about the features of feeding the baby and, possibly, offer to carry out control feeding.
Note! Until the age of one year, the pediatrician should check the child monthly. In addition to the pediatrician, the baby should be examined by a neurologist and an orthopedist at 1 month, and, if necessary, by an ophthalmologist and a surgeon.
At three months
For some reason, the child was not examined by such specialists as a neurologist, orthopedist, ophthalmologist and surgeon? Be sure to show the baby this time!
The neurologist will carefully ask you about the course of pregnancy and the baby's behavior in the first months. If necessary, he will give a referral for neurosonography (ultrasound of the brain structures) - a painless screening study.
The orthopedist will first of all assess the condition of the small legs (symmetry of the folds and the possibility of breeding the legs in the hip joints), and also exclude congenital pathology (torticollis and clubfoot).
The optometrist will tell you how to properly care for the baby's eyes, and also exclude the frequent childhood ailment - dacryocystitis (inflammation of the lacrimal gland).
Note! If necessary, specialists will prescribe an examination in dynamics, that is, after a while. Don't miss a visit!
From 6 months to 1 year
In hassle and worries, the first half of the year will fly by unnoticed! What will interest the pediatrician at the next examination? The doctor will ask what your baby already knows how to do. By the age of six months, the baby turns over, tries to sit, walks, smiles, holds the rattle. Have you introduced complementary foods? If not, your doctor will give you a recommendation. The pediatrician will certainly look into the mouth: are there any teeth there?
After such an exam, you will have to re-visit the neurologist and ophthalmologist. And this time, special droplets are instilled into the baby's eyes, dilating the pupil, and the ophthalmologist will examine the fundus. If necessary, show the child again to the surgeon and the girl to the gynecologist. At 9 months, visit your dentist. The doctor will assess the timing and order of teething and tell you how to care for them.
Note! Due to age characteristics, as well as unsatisfactory care, babies may have certain intimate problems. In boys, this is phimosis (narrowing of the foreskin), in girls - synechia (adhesions in the labia). Only specialized specialists can deal with the problem and give recommendations regarding treatment: a pediatric surgeon (urologist) and a gynecologist.
First birthday
Your baby is one year old! Behind one of the most difficult and crucial periods in a child's life. The pediatrician, instead of the usual examination in the development chart, will make a whole report in which he will describe in detail the condition of the baby and his psychomotor development. In addition to the pediatrician, the child will need to be shown to a neurologist and orthopedist. If necessary, you can contact any specialist, including an ENT doctor, dentist and gynecologist. If before that time there was no need to take tests, then in a year it is recommended to carry out a general analysis of blood and urine, as well as an analysis of feces for eggs of worms.
Note! Are you wondering which clinic to go to? On a mandatory basis, the child's condition must be monitored by specialists from the polyclinic of the area where you live (registered). If you wish, you can refuse to be monitored in a state clinic and go to any private clinic that has a program for the management (patronage) of young children.
A special case
So, unfortunately, it happens that a baby is born prematurely or undergoes severe drug rehabilitation and therapy from the very birth. You will probably be told in the hospital that a premature baby must be examined by an ophthalmologist (optometrist) during the first month to exclude damage to the retina. There is no time to waste! If necessary, the child (after stabilization of the state) undergoes surgical intervention - laser vision correction.
In the first year of life, even the healthiest baby will be under the close scrutiny of doctors. In the first 6-12 months, the foundations of the child's future health are laid - that is why parents with a baby will often visit pediatric specialists, even if there are no complaints. Visits to the clinic with a baby are necessary in order to completely exclude congenital defects and diseases, to determine the early stages of serious ailments or a tendency to them.
Until the age of one year, you will have to see a doctor often - a specialist must provide supervision over the normal development of the child
When the baby reaches the year, preventive visits to the polyclinic become more rare and are limited to vaccinations, therapeutic massage and other recreational activities.
For the first time, a pediatrician and a nurse pay a visit to a newborn one day after discharge from the hospital - this is a patronage visit. A young mother can ask a nurse what are the features of caring for a small person, find out the work schedule of a local pediatrician in a polyclinic, ask exciting questions. In the polyclinic at the place of residence, you can get the schedule of medical examination for a year in advance.
Dispensary table
The table shows all specialists who need to be examined within 12 months:
| Age | Specialists |
| newborn | Examination is carried out at home 4 times a month |
| 1 month | Consultations of a newborn with a pediatrician, otolaryngologist, ophthalmologist, neuropathologist and orthopedist |
| 2 months | Scheduled consultations on the "Day of a Healthy Child" at the pediatrician at the site |
| 3 months | Examination must be done by a pediatrician, surgeon, neurologist and orthopedist |
| 4-5 months | Reception on the "Day of a Healthy Child" at the site of a pediatrician |
| 6 months | Consultation with a surgeon, orthopedist, neurologist, pediatrician |
| 7-8 months | Reception of the pediatrician at the site |
| 9 months | It is necessary to show the baby to the dentist, surgeon and pediatrician |
| 10-11 months | Examination by a pediatrician |
| 12 months | An epicrisis is drawn up, the child must be shown to all specialists who have examined the crumbs during the year |
If the child does not have any problems with the ears, the otolaryngologist conducts diagnostics at the age of 1 month and 12 months Baby is 3 months old - examination by a pediatrician, neurologist and orthopedist
This article tells about typical ways of solving your questions, but each case is unique! If you want to know from me how to solve your particular problem - ask your question. It's fast and free!
The pediatrician gives a referral for a general blood test and a general urine test, measures the weight and growth of the crumbs. At the first consultation, a neurologist checks the development of the baby for the development of primary motor abilities, mental development, and the level of muscle tone. The doctor can prescribe a course of vitamins, exercise therapy or massage. It is the neurologist who gives the conclusion about the possibility of primary vaccination. If neurotic abnormalities are detected, the pediatrician directs the baby for additional examination: ultrasound, extended blood count and others.
Examination by an orthopedist at 3 months is necessary to exclude rickets. Rickets most often manifests itself in babies born in late autumn and winter - due to a lack of vitamin D in the body, obtained during walks in the sun.
Rickets makes the bones and muscles of children weak and fragile, therefore, to correct the diagnosis, an orthopedist can prescribe a course of vitamin D. As a rule, a baby is prescribed vitamins in drops at 3 months.
Baby 4-5 months old - examination by a pediatrician
At 4 months, the child is examined by a pediatrician. The nurse checks the weight and height of the baby, checks that the indicators are in accordance with the norm. If the indicators are still slightly different, then so far there is no reason for concern - all children are individual, and by year to year the numbers can change greatly. If mom has any questions, she can ask them. If necessary, the mother carries out a "control weighing" to determine the amount of milk eaten by the baby in one feeding.
The neurologist analyzes the development of a six-month-old baby, checks for the presence of basic reflexes. A child at 6 months can already roll over on his own, hold rattles in his hands.
Baby 7-8 months - a trip to the pediatrician
If the mother has no complaints, then the 7-month-old baby is examined by a pediatrician. He monitors the increase in height and weight, explains the rules and schedule for the introduction of new products in complementary foods. Usually at this age children already understand that they were brought to the doctor, they are very "upset" from this. Bring your favorite toy, a pacifier, or a bottle of water from home to calm your baby.
Baby 9 months old - examination by a dentist and a surgeon
The first appointment with the dentist takes place at the 9th month of life. It is imperative to visit the dentist, even if not a single tooth has come out of the baby. The doctor will check the bite, give the mother advice on caring for the baby's oral cavity and teeth.
When examining a child, the surgeon excludes common diseases: inguinal and umbilical hernia, rickets (we recommend reading :). In boys, the genitals are checked to detect dropsy or incomplete prolapse of the testicles (we recommend reading :). In case of detection of these diseases, the surgeon gives a referral for surgical intervention - this is necessary, since delay can cause serious inflammatory diseases.
At 9 months old, the baby visits the dentist, who examines the oral cavity for the correct bite Baby 10-11 months - consultation with a pediatrician
Mom brings her son or daughter to the clinic on health day. The pediatrician conducts a general examination, checks for weight gain and height, and gives advice on hardening and physiotherapy exercises. At this time, it is worth checking whether the baby's medical card is filled out correctly - whether all the data has been entered, whether there are marks about the vaccination carried out, perhaps the mother's phone has changed. All changes should also be noted on the card.
Baby 1 year old - complex clinical examination
After a year, in the absence of complaints from the mother, the pediatrician examines the babies once every 3 months. Consultations may be more frequent if indicated, or the child has a chronic illness. In this case, the district pediatrician will select the examination schedule himself and coordinate it with the mother.
Upon reaching the age of one year, children undergo medical examination by a neurologist, orthopedist, surgeon, ophthalmologist and dentist. The pediatrician issues a referral for a whole list of tests: blood and urine tests, electrocardiography and scrapings. After receiving the results, the pediatrician assesses the child's condition and, if necessary, issues a referral for additional tests. For the first time in a year, a child undergoes a tuberculin test, commonly known as the Mantoux reaction. From this age, the Mantoux reaction is carried out once a year.
In a year, the child undergoes the first Mantoux test, which then becomes a mandatory annual procedure. One-year-old baby - examination by an orthopedist, surgeon, ophthalmologist and dentist
- The orthopedist checks the posture and position of the foot of a one-year-old baby, looks at how the skeleton is formed, if the joints are normal. The doctor will give mom instructions on choosing the right shoes. For the prevention of flat feet, children can be shown special orthopedic shoes with a hard back, heel and high instep support.
- The surgeon will examine the baby for the presence of an inguinal and check the external genitals of the boys to rule out pathology. The dentist checks the presence and quality of the baby's teeth, gives advice to the mother on the prevention of dental caries in the child.
- The optometrist will examine the fundus of the child, check for deviations in visual acuity from the age norm, and clarify the physiological or hereditary predisposition to visual impairment. For the first time in a year, diagnoses can be made: myopia, hyperopia or astigmatism. If diseases are detected, the ophthalmologist will prescribe treatment or correction of vision with glasses in order to exclude its subsequent deterioration.
- The otolaryngologist examines the baby's ear canals, nose, throat. If necessary, the doctor will prescribe a lavage of the tonsils and ear canals.
- A neurologist checks the baby's speech and motor development. In a year, children should be able to stand on their feet, stand upright, and walk by the hand. The doctor will also check mental development: children should recognize family members, speak a few words, know and show body parts.
A one-year-old child must undergo an examination by an ophthalmologist, whose task is to identify abnormalities at an early stage Establishing a health group for a child
After the planned medical examination, the mother and the baby are tested and come to the pediatrician, where the doctor gives a comprehensive assessment of the baby's psychophysical development and establishes a health group. In pediatrics, there are 5 health groups in total. In medical records, they are denoted by Roman numerals from I to V:
- The first (I) - children who do not have any health problems. The development of the baby corresponds to the age norm, for babies only regular medical examinations are shown in accordance with the standard schedule.
- The second (II) is the most common in medicine. The group includes babies with minor health problems. These babies are examined more frequently and more thoroughly in accordance with individual health check-up schedules.
- Third (III) - children who, by the age of one year, have chronic diseases with periodic relapses. Children with the third health group in school and kindergarten are exempted from physical education and sports. The third group also includes children who are overweight, or severely underweight.
- Fourth (IV) - children with serious physical pathologies, with chronic diseases with frequent relapses. These children receive ongoing supportive care in a medical facility.
- The fifth (V) is the most serious group. Babies suffer from chronic diseases with regular exacerbations and prolonged course of the disease. It is difficult to get it - the 5th health group is assigned by the medical commission. Disabled children also belong to the 5th group.
Establishing a health group is necessary to determine the timing of medical supervision and the formation of a health improvement plan (a referral for therapeutic massage, hardening, exemption from physical education or a special group is issued). With age and "outgrowing" of the disease, the health group can change.
Umbilical cord neonatologist clears the child's respiratory tract, drops special drops into the eyes, weighs it, measures the head circumference and body length. After these manipulations, the newborn will receive the first mark in his life - an assessment of the general state of health according to the Apgar scale... In the maternity hospital, at the request of the parents, the baby will be given first vaccinations- against tuberculosis and hepatitis B.
First inspection of the house
The day after discharge from the hospital, the child will be visited by the patronage nurse, and then by the pediatrician. The purpose of the visit is to find out how the mother is feeling and to examine the newborn. The pediatrician will draw up a conclusion on the health of the little man, and he will give the mother recommendations on the daily regimen, feeding and caring for the child, and will also help to draw up a calendar of vaccinations.
1st month of life
At the end of the first month of a child's life, a large examination awaits. You can go through it in the children's district clinic or any paid clinic, or you can invite specialists to your home. except pediatrician, the child is examined neurologist, orthopedist, surgeon... Specialists will assess the state of the nervous, musculoskeletal system, exclude some surgical diseases. In boys, the doctor will check whether both testicles are in the scrotum. This is the booster time for hepatitis B.
2nd month of life
A routine appointment with a pediatrician is to measure the weight, height of the child, and the volume of the head. Additionally, they can appoint Ultrasound of the hip joints to make sure they are formed correctly. The doctor will tell you if there is a need to start preventing a disease such as rickets, and will also discuss with you the possibilities of early tempering of the baby. The pediatrician will also offer to take an appointment with ophthalmologist... At two months, this visit is of a preventive nature.
3-4 months of life
At this stage in life, the child is making tremendous progress in development. Along with the usual control of weight, height and head circumference, the test of motor functions is in the foreground. Special attention is paid to whether the child can follow the toy with his eyes; the hip joints of the child are checked... If nothing causes concern in the baby's behavior, you can safely go home. At this age (3.5 months), the first vaccination against whooping cough, tetanus, (DTP vaccine), polio is given.
5th month
If the baby is healthy, then you will only meet with the district pediatrician. From this age it is worth thinking about introduction of the first complementary foods... The doctor will tell you which products are best to start with and what to look for during this crucial period for your child's life. Time for the second vaccine and revaccination against poliomyelitis.
6th month of life
Six months is a very important period in the life of a little man. And there will be many meetings with various specialists. In addition to the pediatrician, you will need to visit neuropathologist, ophthalmologist and orthopedic surgeon... At six months, doctors will test the ability of an infant lying on its back to roll over on its side, stomach, change the position of its body, hold its head well, lean on the straightened palms of its hands in a prone position, as if grasping various objects; make sure your baby is able to sit with lateral support. The following vaccinations are on the agenda: the third DPT vaccine, the third polio vaccine, the third hepatitis B vaccine.
7th month
At this age, experts will pay special attention to checking the baby's sense organs, and also pay attention to speech development child (whirring, babbling), reaction to being addressed to him. If the pediatrician does not reveal any deviations from the norm, you will not be prescribed any additional examinations from other specialists.
8th month
An obligatory part of the examination program at this age is examination by a surgeon and orthopedist... They will rule out diseases such as inguinal and umbilical hernias, as well as ensure the correct skeletal formation and muscle development. At the exit from the specialists, the mother will receive recommendations regarding the need for a massage course.
9th month of life
At 9 months, in addition to the pediatrician, the mother and baby will visit for the first time pediatric dentist, even if the baby still does not have a single tooth. It is at this age that it is necessary to control the eruption and growth of milk teeth and assess the correctness of the laying of still unerupted teeth.
1 year
Now it's time to celebrate first birthday... However, in the hustle and bustle of preparing for the holiday, do not forget about the big medical examination. At this age it will be necessary to re-visit pediatrician, neuropathologist, orthopedic surgeon, ophthalmologist and ENT specialist, dentist, cardiologist... The neurologist will assess the skills gained during the year, speech and psychomotor development, muscle tone. The orthopedist will monitor the child's physical development, the correct development of the spine and foot. The pediatric dentist will examine the teeth and draw conclusions about whether the bite is formed correctly. The ENT doctor examines the ears, throat and nose, and the ophthalmologist will check that there are no deviations in visual acuity from the age norm. The following vaccines are recommended: rubella, mumps, and revaccination against hepatitis B.
If the examination, carried out at the end of the first year of the baby's life, did not reveal any diseases, then the next visit to the clinic will take you only three months later! From now on, visits to doctors will become increasingly rare. And large dispensary examinations will be carried out in accordance with the terms established by the health authorities: 3 years, 5 and 6 years.
Discussion
The neurologist appoints us a rendezvous every month ...
Aha, and my friend, a pediatric orthopedist, said that an order came to them, according to which the planned examinations of the child will now be at 3 months, and then at 7 years old! Not even in front of the garden. Somehow I can't even believe it ...
Comment on the article "Pediatrician, neurologist, orthopedist ... When to show the child to the doctor?"
Pediatrician, neurologist, orthopedist ... When to show the child to the doctor? A routine appointment with a pediatrician is to measure the weight, height of the child, and the volume of the head. From now on, visits to doctors will become increasingly rare.
Discussion
This is legitimate, but your requirements for a doctor are completely unfounded. For a long time (several years), there have been orders according to which it is forbidden for pediatricians to sign recipes for the dairy kitchen without seeing the child. At the same time, the doctor does not need to examine the child. If you, as a parent, are against the examination, it is only easier for the pediatrician, but it is obligatory for the doctor to make sure that the child for whom the prescription is being written exists at the time of the prescription.
I don't know what the point is to immediately call the Ministry of Health to ask about nutrition, at one time we once in six months loomed at the pediatrician, then we freely received our food. What is the problem. Nobody will make you vaccinate. Nobody canceled the law on health protection.
# ASK_TIP A question from a member of the group: "What does it mean to feed on demand?" In our group, every mother can get information on breastfeeding and baby care. “Good afternoon, can you please tell me the first child and I'm confused. Our pediatrician says that the baby needs to be fed on demand. Those. As far as I understand, I offer the baby breast at the first peep-demand? From which the next question arises, and should I apply to one breast every time? Or each ...
Discussion
I remember how my first child almost died because my mother-in-law insisted on GW. There was not enough milk, the child was losing weight, screaming, and covered with a rash. It was scary. Everything worked out when the mixture was introduced. Now the same mother-in-law teaches another daughter-in-law to "feed on demand" and only with milk. It got to the point that a two-year-old girl sleeps between her parents and cannot sleep without a breast. You can talk a lot about the benefits of GW, but within reason. If a woman does not want sexual relations with her husband, then it is not normal to cover it up with a child in bed. I am a psychologist and I can see such stories very well. After 6 months, guards are just a convenient way to feed your baby. There is no benefit anymore. You can shower me with rotten eggs. Now I have a second child and I see that a whole industry has emerged that makes money on quivering mothers - a visit to a doula costs 6 thousand, and a mammologist for straining - about 10-12 thousand. Non-working mothers are proud of breastfeeding, this is great, but you don't need to impose your own point of view, believe me, we are all victims of pressure and popaganda. If society did not treat feeding in a biased manner, many women would not suffer from lactostasis, mastitis, and children would sleep peacefully. And men would not seek solace on the side. The main thing is comfort.
04/04/2017 09:34:03, SvetlanaKrBreastfeeding on demand for the first month and a half helped me to produce the right amount of milk. If I applied it on a schedule with a night break, then the milk would completely disappear.
I had a baby at the beginning of the year! And of course the question arose in the choice of a pediatrician to whom we would entrust our child. As a pediatric neurologist, I chose I.I. from CTA. I liked the doctor very much! The first appointment was held at our home and lasted 1.5 hours) I never thought that there are such pleasant, high-quality and meaningful appointments of doctors. This is the case when we unexpectedly receive more than we bargained for. Irina Igorevna very carefully and carefully examined the baby and asked ...
According to the MIL, a global press conference was held on 18 May 2016 to review the availability of children's health care. The insurance policy "Children's Doctor" was presented there, which was provided by the VTB Insurance Company and the online project "Pediatrician 24/7" (founded with the support of the Research Institute of Emergency Pediatric Surgery and Traumatology under the leadership of L.M. Roshal). Oleg Merkulov (First Deputy General Director of VTB Insurance): “For the last few years we have been engaged in ...
Pediatrician and other doctors in filatovka. Medicine / parents. Adoption. Discussion of issues of adoption, forms of placing children in families It seems that they all remained in place. Looking for: pediatrician, neurologist, endocrinologist, otolaryngologist, surgeon, orthopedist, ophthalmologist, ultrasound.
Discussion
Everything is like everyone else)
Pediatrician - Volodina, orthopedist - Lazovaya, neurologist now Goeva (before that they also had Lomaga), endocrinologist - Blokh (I liked it very much).
The ultrasound-where they will send, they did both the head and thyroid gland and the abdominal cavity, all the uzists are very good.
Orthopedist Lozovaya, pediatrician Volodin, neurologist Goeva (Lomaga seems to be taking only paid now, her local mothers were especially praised), cardiologist Gagarin, allergist Maslennikova. I am very pleased with everyone, no conversations are not on the case, all studies are prescribed, they are carefully watched.
What to do if the child begins to suffer from nightmares? If he wakes up every night in a row in the middle of the night with loud screams, choking on tears? Hope that everything will work out by itself and continue to calm the baby at midnight, tearing his heart with torment? To listen with horror to quiet sobs, realizing that the child is again in the grip of night terror? Faced with the problem of children's nightmares, parents are ready for the most drastic measures. Someone is in a hurry to ...
The lecture is read by E.D. Belousova. prof., d.m.s. Federal State Institution "Moscow Research Institute of Pediatrics and Pediatric Surgery of Rosmedtechnologies"
List of doctors for kindergarten. Kindergarten. Child from 1 to 3. Raising a child from one to three years: hardening and development, nutrition and illness, daily routine and development of everyday skills. Our list was as follows: pediatrician, orthopedic surgeon, neurologist, ENT, ophthalmologist.
pediatrician, orthopedist, surgeon, ophthalmologist, ENT, neurologist, dentist + blood tests - urine, head NSG, ultrasound of the gastrointestinal tract, heart and kidneys 03/26/2012 01:11:04 pm and a pediatrician once told me so, with feigned sympathy looking at my babies .. well, finally show your children to the doctors ...
Discussion
Since we are trying to appear in the clinic only when absolutely necessary, we have successfully scored for this examination. I see no reason to wag my nerves and endanger the health of the child.
what a horror) just in case - the list of specialties is not limited to a speech therapist as well)))
sho, do you cook for a child in a nursery? why all these ridiculous gestures)
The chief physician of the "Detka" company, children's surgeon of the highest certification category Lyubov Trofimovna Popova. Today, surgical care for children is provided mainly in hospitals of specialized clinics. Children are hospitalized even when it is quite possible to get by with treatment at home or in a polyclinic. The main reason for this, in our opinion, is insufficient funding of the polyclinic link and, as a result, extremely low salaries of doctors, staff turnover (and hence ...
Our daughter Angelina was born on August 20, 2006. Height 50cm. weight 2 900. The color of the eyes is gray, the hair is dark, almost black. When we arrived from the hospital, my friend Nelia, a practicing pediatrician for children, arrived. She showed how to handle her, bathe her, feed her, etc. Angeliosha is a very calm child, but agile. He wakes up in a good mood, if he does not wake up crying. She sleeps well, is calm, we have no problems with her, she does not cry at night, wakes up, eats and sleeps again. She sleeps ...
The first report spoke about the equinus, that is, placing the feet on their toes with really non-functional and pathological neurogenic muscle tone. In some situations, we can talk about "pseudo-equinus", when such attributes are found in babies in completely normal or regular situations. A few words about them. 1. If you take an infant who still does not walk or stand on his feet by the hands and try to drive him, then the baby reflexively or intuitively will try ...
Discussion
The phenomenon of "toe-walking" has recently aroused a serious interest not only of parents and pediatricians, but also of many "grannies of our yard," confidently and constantly suggesting: "The child is clearly something with nerves. You should consult a doctor!"
The article describes the entire nature of this phenomenon in an accessible language. The information provided allows a parent to objectively assess the characteristics of his child and determine the correct strategy for behavior with him (as well as with the "grandmothers of our yard" and other "pseudo-kindred").
The article is interesting and useful.
Thanks to the author.
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!
On January 1, 2018, a new order "On conducting preventive medical examinations of minors" No. 514n dated August 10, 2017 came into force. It replaced the 2012 order, in which a list of doctors and additional research was prescribed for each age of the child, which should be done to the child free of charge. Today we compare tables with these data from two orders and pay attention to the differences and innovations between them.
The first examination of a newborn is a traditional examination of the baby by a pediatrician. Important: screenings are "timed" to this examination: neonatal screening for congenital hypothyroidism, phenylketonuria, adrenogenital syndrome, cystic fibrosis and galactosemia, as well as audiological screening. All of these screenings are usually done for the baby in the hospital. If they were not done in the hospital, then neonatal screening for five hereditary syndromes should be done within 1 month of the baby's life, audiological - in the first three months.
V 1 month a child should be examined by a pediatrician, neurologist, pediatric surgeon, ophthalmologist earlier. Now an examination by a pediatric dentist has been added to this list. The list of studies remained unchanged, it includes ultrasound of the abdominal cavity, kidneys, heart, hip joints and neurosonography.
V 2 months the baby is examined by a pediatrician (this has not changed). Now, at this age, the clinic will still do a general blood and urine test - these are innovations in 2018.
V 3 months now there is no compulsory consultation of a neurologist (but there are still a pediatrician and a traumatologist-orthopedist). A general analysis of blood and urine is also excluded - they were transferred to the second month of the child's life.
V 4 and 5 months both according to the old and new standards, the baby is examined without fail only by a pediatrician.
Now the pediatrician will be the only one to examine children also in 6, 7, 8, 9, 10 and 11 months... Consultations with a pediatric surgeon and neurologist at 6 months, general blood and urine tests at 6 and 9 months from this year are excluded as mandatory.
V 1 year Before, children were examined by a whole team of specialists: a pediatrician, a neurologist, a pediatric surgeon, a dentist, an ophthalmologist, an ENT doctor and a psychiatrist. Since this year, consultations of a dentist, ophthalmologist and psychiatrist are not necessary for a year, but an orthopedic traumatologist has been added to the mandatory list of doctors. The list of studies includes general blood and urine tests, ECG. A glucose test has been excluded as mandatory since 2018.
V 1 year 3 months examination only by a pediatrician is required (nothing has changed here).
V 1 year 6 months- also the baby is examined only by a pediatrician, a general analysis of blood and urine has become unnecessary.
V 1 year 9 months from 2018, children with a preventive purpose will not undergo examinations at all.
V 2 years the list of examinations includes: pediatrician, pediatric dentist and child psychiatrist. Also, the child takes a general analysis of blood and urine.
V 2 years 6 months medical examinations have now also been canceled.
V 3 years children are again examined by a team of doctors: pediatrician, neurologist, pediatric surgeon, pediatric dentist, ophthalmologist, ENT doctor, urologist or gynecologist. Examination by a child psychiatrist at this age is now excluded. Among the studies: general blood and urine tests remained, but glucose level studies are no longer on the mandatory list.
V 4 years before children were examined by a pediatrician and a surgeon, now the surgeon was replaced by a pediatric dentist and general blood and urine tests were excluded.
V 5 years the child will also be examined only by a pediatrician and pediatric dentist, and he will not take any tests.
V 6 years- future schoolchildren will be examined by a huge team of specialists: pediatrician, neurologist, surgeon, dentist, orthopedic traumatologist, ophthalmologist, ENT doctor, psychiatrist, gynecologist or urologist. Half of these specialists are a 2018 innovation. To those studies that 6-year-olds took before (general blood and urine tests), almost the entire spectrum of ultrasound was added: abdominal organs, kidneys and heart. An ECG was also added, and the study of glucose levels, on the contrary, was excluded from this year.
V 7 years on the contrary, the number of specialists has decreased. Now children will be examined by a pediatrician, neurologist, dentist, ophthalmologist and ENT doctor. Among the studies: a general analysis of blood and urine remained, all ultrasound and ECG will be done a year earlier.
V 8 and 9 years old professional examination now includes only a consultation with a pediatrician and pediatric dentist. There will no longer be any other examinations and consultations at this age.
V 10 years the child will be examined by: a pediatrician, a neurologist, a pediatric dentist, an endocrinologist, an orthopedic traumatologist and an ophthalmologist. Consultations of an ENT doctor and a psychiatrist are "gone", as are the ECG and the study of blood glucose levels. Only a general analysis of blood and urine remained.
V 11 and 12 years old only a pediatrician and a pediatric dentist are waiting for children for a prophylactic examination. All analyzes were also excluded from the prophylactic examination at this age.
V 13 years before children were examined only by pediatricians. Now consultations of pediatric dentists and ophthalmologists have been added to them. All analyzes, on the other hand, were excluded.
V 14 years old earlier, the medical team included 8 specialists during the prophylactic examination. Now there are 4 of them left: a pediatrician, a pediatric dentist, a urologist or gynecologist, and a teenage psychiatrist. All analyzes and studies, including ultrasound, have now been canceled at 14 years of age.
V 15, 16 and 17 years old children will be examined by a full list of specialists, which has practically not changed compared to previous years. This is a pediatrician, surgeon, dentist, urologist or gynecologist, endocrinologist, neurologist, orthopedic traumatologist, ophthalmologist, ENT doctor and adolescent psychiatrist. Only the number of studies has changed. At the age of 15: general blood and urine tests, as well as EC, to which ultrasound of the abdominal cavity and kidneys was added. At the age of 16: only general blood and urine tests remained, at the age of 17 - the same plus an ECG without a study of the glucose level, which was done before.
Summing up the material, we noted that now the prophylactic examinations of children turned out to be even more "concentrated" in certain years, much more attention will be paid to dental problems in the development of babies, and children will take tests less often for preventive purposes.