Organization of preventive work with a healthy baby
enormous social significance in modern conditions of preventive activity of children's outpatient clinics is to implement a wide range of effective health measures to prevent disease, reduce morbidity and infant mortality, improving the health of the younger generation as a potential public health.
Organization of preventive measures aimed at protecting the health of the child, actually begins before birth.The plans of preventive work in children's clinics included nursing and medical patronage of pregnant, conducting classes in schools for young mothers (in collaboration with physicians antenatal clinics).It is advisable to engage in such pursuits and fathers, creating a school for young parents in children's clinics and antenatal clinics, it's important to create the right psychological climate in a young family.It is important to make the program as training to ensure that it reflected the physiological characteristics of women during pregnancy and childbirth, the regime of the day and nutrition, hyg
health nurses in children's clinics must perform at least two antenatal care: the first after the receipt of information about the production of a pregnant registered at the antenatal clinic, the second usually 31-32 weeks of pregnancy.
According to the current position of a pediatrician and nurse attending child health clinics together the newborn within the first 3 days after discharge from the hospital.If the child was born in the family, it is recommended that nursing on the first day after discharge.Later on, the precinct nurse visits the child at home after 1-2 days during the first week and weekly during the first month of life.The district pediatrician revisits child at home in 7-10 days.In primary patronage newborn pediatrician collects genealogy, obstetric, and social history.Particular attention is drawn to the age of the mother and the father;family history;complaints;maternal and child health;peculiarities of pregnancy and childbirth;on which day the child is attached to his chest, like sucking;on which day the umbilical cord has disappeared;when the child is discharged from the maternity hospitals;What is the physiological loss of body mass and OE An objective study is necessary to evaluate the overall health of the child, specific to the neonatal period features: the state of the skin, umbilical ring and wounds, mucous membranes, musculoskeletal and nervous system, reproductive and other organs and systems.Compares newborn anthropometric data (height, weight
sa body, chest circumference and head) with the physical development of the population of children age.Great help the pediatrician at the first acquaintance with the child has a detailed and expertly filled discharge from the hospital (card exchange), reflecting the nature and characteristics of the flow-ante, intra and postnatal periods and containing the necessary recommendations to the maternity hospital neonatologist GP children's clinic.The district pediatrician based on an analysis of the data determines the level of physical and neuro-psychological development of the child, provides a comprehensive assessment of the health of certain groups of newborn health.
district pediatrician justifies the plan further observations of the child individually for each newborn, including a range of recreational, educational and therapeutic measures.
All specifications above are fixed in the "History of development of the child."From a careful and skilled care for infants younger than 1 month depends largely on prevention of septic diseases, successful treatment of disorders of the central nervous system, the timely detection of congenital diseases, and consequently the health of the child in the future.At the slightest suspicion of deviations in the health of the newborn local pediatrician should as soon as possible to establish the diagnosis and appropriate treatment, if necessary, resorting to the help of the head of pediatric department, medical specialists, laboratory and diagnostic services.
All the children of the twins;premature;born with a large body mass;mothers with abnormal pregnancy and childbirth, or have had infections during pregnancy, as well as get a birth trauma;children discharged from neonatal pathology department, and from adverse social conditions are at risk and should be under special supervision of the local doctor and nurse.
desirable that primary nursing pediatrician conducted in conjunction with the nurse, which processes newborn umbilical wound (if needed), performs the prescribing physician, receives instructions to continue monitoring the child.
mothers, depending on the state of health of the child and his individual peculiarities give advice on the establishment of appropriate hygienic conditions, proper organization of feeding regime of the day, walking.
• establish contact with the children's clinic of the future mother;to find out the state of her health, the social situation of the family and its psychological climate, the living conditions of the child, to maintain confidence in the birth of a healthy baby in the future mother;
• give the necessary advice on the labor regime;life, recreation, nutrition, preparation of areas for the newborn, teach the rules of child care and feeding;
• warn women from smoking, use medications without a doctor's prescription and spirits;
• visits to check the regularity of the employment of women school for young mothers.
nurse mother teaches the rules of child care, bathing, toilet, draws attention to the baby clothes.It is important to establish contact with the family of the child, reassure the mother, try to eliminate possible causes of unrest since the first weeks of infant care is particularly difficult for the mother.
active Repeated visits to a nurse examining a child, the mother controls the execution of the doctor's prescription.
doctor attends to a healthy baby at home is usually on the 20th day of life, evaluate the state of his health, development, pay attention to the baby to adapt to the new environment for him.Special caution should thus be taken in relation to septic diseases, their prevention and timely detection active.
When visiting patron at the 4th week of life the newborn health nurses invites the mother with the child on the first admission to the clinic.