Studies of the newborn baby

1. Cardiac frequency
2. Respiration
3. Muscular tone
4. Reflexes
5. Coloration

 

Theoretically this study or test must be done 3 times: in the moment itself of the birth, to the minute, and to 5 minutes.

Each of the areas receives a punctuation of 0, 1 ó 2, according to the situation of the newborn baby some problem is perfect, discreet, or present.

Adding the obtained points of each of 5 areas the index Apgar is obtained. When a newborn baby obtains in this study the maximum punctuation the fact is that it is perfectly. The normal newborn babies obtain between 8 and 10 points.

If the newborn baby obtains a punctuation below 6 points, he will need energetic revival, and special control panel, as for example, assisted respiration, or incubator. As soon as the baby is born, the gynecologist will clean gently his mouth, to eliminate phlegms and snots, and will help him to breathe. Then a moment will put it on your breast so that they are recognized. (Of more it is decir_: ste is an unforgettable moment).

After taking the Apgar test (that many do it automatically, without stopping too much) the following step will be to cut the umbilical cord. First the pinzará with a surgical instrument, and then it will cut the drawstring. In this moment it will go on to the room of nearby, of care neonatológicos. Here, in an open incubator, so that the baby supports his corporal temperature, it will be auscultated, the phlegms will be inhaled to him with a small probe.

 

Physical examination of the newborn baby

Then, once retinue is, they will take from him the excess of fat or sebaceous ointment. Making him alone in his push-up creases, since it will help him to support his corporal temperature. The pediatrician neonatólogo will do an exhaustive medical examination:

*Controlará his respiration and cardiac beats
*Controlará the color of his skin. If it was noticing it yellow, it might be a jaundice symptom.
In this case, lamp will be indicated him.
*Medirá the diameter of his head, and the length of his body.
*Lo it will weigh.
*Mirará his mouth to verify that it does not have harelip or cracked palate.
*Mirará his ears. If they were blanditas, it might be an immaturity symptom.
*Palpará the bones of the head, and the fontanelas.
*Hará an exploration of the genital and anal region.
*Observará that the umbilical cord has 2 arteries and a central vein. If only it was provided with only one artery, it would be a symptom of renal malformations.
*Le they will apply a vitamin dose K intramuscular, to prepare a hemorrhage neonatal.
*Para to avoid a conjunctivitis neonatal, they will put a colored eyewash. (You do not scare if you notice the colored ojitos to him)
*Le they will place a plastic tweezer in the ombliguito.
*Palpará the pulse of the arteries that happen for the thighs, to discard cardiac alterations.
*Si in the examination of the legs the pediatrician notices the so called hip crack, it will indicate an ultrasound scan.
An aspiration will be realized naso gastric, to discard anomalies in the esophagus.

 

Study of the heel: tamizaje in the newborn baby

 

Extracting a few blood drops to him to the newborn baby a series of illnesses can be detected precozmente neurometabólicas with the screening method or tamizaje. These illnesses cannot be diagnosed clinically, and if they are not treated on time, can cause serious neurological damages to the baby, even the death.

3 illnesses that this study detects are: The congenital hipotiroidismo, the fenilcetonuria, and the fibrosis quística. In addition to these 3 illnesses, this study of the taloncito can detect another 21 less frequent illnesses, but equally of dangerous of not being diagnosed and treating on time.

The calming thing is that detection and the treatment on time, in the majority he avoids the consequences. Your baby must realize this study between 48 hours to 5 days of born. Although also there are acceptable blood samples until the month of born the baby. In the Argentina, this study is obligatory, for what the social works and you prepay almost always they cover the entire or partial cost of the study.
Anyway, he verifies that in the maternity or hospital where your baby has been born, it has been realized. It is very important. The blood sample is sent to the foundation F.E.S.E.N, with a form that it is necessary to complete.

If you live inside the country (Argentina), it is possible to order the sample by mail certified. Also you can take advice in the foundation F.E.S.E.N, or in the hospital where your baby was born. It is very probable that it is healthy. According to the statistics, these illnesses are not very frequent. Nevertheless, it is a simple, rapid, accessible study, and it will give you calmness, therefore I recommend to you not to stop doing it to him.

Passed the first hours after the birth of your baby, the second medical examination will take place. In this examination, the pediatrician auscultates again the newborn baby, and examines his muscular tone, his reflexes, the color of his skin, the genitals, and the principal organs. Discarding or detecting the existence of a possible luxation of hip, or break of clavicle, which they can produce to themselves during the childbearing. During the days that the internee baby is, a pediatric pursuit will be done to him even high. Then in your house, you will have to take it to 15 days of born, if all good is.

Then the pediatrician of head that will do the pursuit to him will indicate you that every you will have to take it. In general, if the baby I recover, the indication is once a month up to 2 years.