2011/09/18

Tips For Newborn Baby Care

Every parent must delighted when their new baby born, especially for mom.  What to do well when you have a newborn baby:
•    Prevention of disease through routine immunization and parent education (nutrition, accident prevention, and sanitation)
•    Early detection of disease through physical examination and screening procedures
•    Treatment of disease in its early course
•    Provision of guidance in child rearing to afford optimal conditions for normal emotional and intellectual development.
To meet these objectives, child and mother are seen at regular intervals throughout the early years of life. The frequency of these visits and their content of education are determined by the age of the child and the physician’s opinion of their value.
Inquires as to the infants intellectual and psychosocial development should considered an aspect of preventive health care. Baby mental development can be estimated using the Denver Developmental Screening Test or known as Denver Scale (The scale reflects what percentage of a certain age child is able to perform a certain task). Routine test should be started at age 4 or 6 month and can be repeated into early childhood.
Assessing the parents perception of their child and the interactions between parents and infant cannot be accomplished easily by any convenient, standardized method. Nonetheless, the physician should attempt to determine the parents feeling and attitudes toward their child. This should be begin with the first contact in the hospital, when the parents and the physician can discuss the vicissitudes of raising children. Parental attitudes may be identified tactfully by determining how the parents feel they are being affected by caring for a new baby, how they handle difficult situations, or how easily they can obtain help when feeling tired or short-tempered. In establishing good parent-child interactions, the physician is performing an ongoing, integral responsibility which requires individualized attention.
 
Newborn Baby Tests
Screening of newbaby is important for identifying a number of physical anomalies and diseases. A complete physical should be performed and the family history of each parent and the mothers pregnancy history should be reviewed. Screening for baby metabolic and hematologic disorders should also be undertaken especially for the following conditions.

Metabolic Disease: at the time of hospital discharge , the newborn baby should have capillary blood specimens taken In order to screen for a number of diseases.

Anemia: blood loss during birth process or in the neonatal observation period may cause anemia. Determining the Hct or Hb level at the time of discharge provides a baseline value for tests taken later in infancy.

Hearing: profound hearing loss may be suspected by parents if their infant does not respond to ordinary household sounds. Parents observations, particularly if corroborated by the physician, are as good as or better than any presently available mechanical hearing test. The infants response  to sharp noises made at his side or from behind gives some indication of auditory acuity in the 8 to 12 month old infant.

Vision: the parents observations are of great importance. By age 6 week, the infant should begin to follow the parent with his eyes. Strabismus which persists after age 6 month may cause loss of visual acuity and an ophthalmologist should be consulted.

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