Patronage of the newborn at home: terms, goals, scheme. Child care patronage form: filling pattern

After delivery, a young mother often does not know how to behave with a newborn baby. Help her feel confident, raise a healthy and developed child and called for patronage.

• A young woman who is preparing to become a mother for the first time feels on heryourself a burden of responsibility for your baby. She realizes how fragile he will be, and is afraid that his inept actions can harm him.
• . A future mother sometimes feels that she has remained alone with this responsibility. But it is not so
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• Even during pregnancy, a local pediatrician and a nurse appear next to her, whose task is to patronize newborns and children of the first year of life, which includes not only the control of the baby's health, but also the psychological support of the mother

. What is nursingpatronage of the newborn? Goals of patronage to the newborn

The term "patronage" is literally translated from French as "patronage"( patronaqe).In medicine, it means a set of activities performed by a doctor or a nurse at the patient's home, whose tasks are to treat the patient, prevent him from various diseases, and educate him.

In the first - the third day of stay home to the newborn will come the pediatrician.

IMPORTANT: One of the most important tasks of public medicine( and medicine in general) is the education of healthy, strong children with strong immunity. District doctors and nurses should not only treat small patients, but also take all possible measures to prevent them from possible diseases and disabilities in the development of

. It is important for the personnel of the children's polyclinic to timely prevent primary diseases and developmental disorders in children, which consists inthe following measures:

• medical
• psychological
• pedagogical

During visits within the framework of antenatal care, as well as the patronage of newborns, Stra is to identify and prevent adverse environmental factors( internal and external), which may adversely affect the health and normal development of the baby, who had just been born.

IMPORTANT: The woman's first acquaintance with the personnel of the children's polyclinic occurs during her pregnancy. For the first time a pediatric nurse visits her immediately after registering with a women's consultation to assess the conditions under which pregnancy will take place and the child will be born, and give some recommendations to the pregnant woman.

Later, in the middle of the third trimester, the nurse will come again to check if her recommendations are fulfilled. She will advise the future mother on the care of newborns, breastfeeding, the organization of the postpartum period in general

Patronage is not only a medical event, it also aims to support a young mother and help her learn how to take care of the newborn.

• A newborn patient appeared on the territory served by a certain children's polyclinic, the medical institution informs the maternity hospital
• . On the first or third day after the mother and baby are discharged, a local pediatrician and a nurse visit the home. This visit is called the first pediatric patronage to a newborn.
• It is noteworthy that in addition to the fact that the primary patronage must be held on time, its solemnity is assumed.
• The doctor and the nurse should in no case act as strict teachers or supervisors. A young mother who is physically and mentally stressed afterwards is in no way prone to mistakes if they are allowed by
• . The staff of the children's polyclinic should demonstrate friendliness and readiness to help the woman in any matters concerning the newborn, his health, development and life of

.the primary patronage of the newborn are:

• assisting a woman in the postpartum period
  advice regarding the care of newborns
• advice regarding the organization of the regime but
• assistance in the organization and initiation of infant feeding
• assistance in breastfeeding
• prevention of common childhood diseases( rickets, anemia, others), including infectious
• assessing the health and development of the child, monitoring them
• consultation regarding preventive examinations of the baby for up to one yearpediatrician and specialist doctors, his vaccination

VIDEO: Pediatric nursing

Neonatal care home form and sample

Patronage formnewborn baby: part 1.

Child care patronage form: part 2.

Child care patronage form: Part 3.

Terms of newborns patronage. How many times is the patronage of the newborn?

The timing of a newborn's patronage and the frequency of visits by a pediatrician and a nurse depend on the state of his health and the conditions in the family.
If the baby is developing normally, he is healthy and growing in a favorable atmosphere, the visits of the staff of the children's polyclinic are carried out in this way:

• the first visit - 1-3 days after discharge from the maternity hospital
• the second visit - the 10th day after discharge from the maternity hospital
• further tomonth - once a week
• further up to 6 months - twice a month
• further to 1 year - once a month
• from 1 year to 3 years - 1 time in 3 months

IMPORTANT: According to indications, the patronage of a child up to a year is more often

VIDEO: Patronage of newbornsx

Scheme patronage newborn infant

Scheme patronage.

Sample nursing home nursing

Sisterly nursing can occur in different sequences and in different atmospheres. But there are some general principles. So, the nurse:

1. Clarifies the nature of the course of pregnancy and childbirth. She studies the documents of the newborn, issued in the maternity home, winds and fills the child's card.
2. Inspects the child. She evaluates the condition of his umbilical wound, checks its fontanel, weighs the baby, measures its height, chest and head sizes. Also, the skin of the baby, its mucous membranes are examined.
3. Evaluates his neuropsychological state. It fixes the presence of certain reflexes in the crumb, evaluates the work of its analyzers. So, in 10 days it is noted whether the child can hold a moving object in his field of vision, in 20 days - fix a look at a fixed object, in 1 - 3 months - lift and hold the head in position on the abdomen, etc. Gives recommendations regarding the treatment of umbilical wound. Recommends to visit these or other doctors - specialists, if there is evidence for this. Shows how to do babies massage and gymnastics
4. Evaluates the living conditions and emotional atmosphere in the family. Gives recommendations for improving the living conditions of the newborn
5. Specifies the type of feeding the baby. If it is nursing, examines the mother's breast, assesses the correctness of the seizure, makes recommendations regarding the feeding regimen, breast hygiene, feeding of the nursing mother, and so on. If the child is an artificial person, explains the formula of feeding, hygiene of feeding, etc.
6. Teaches a woman how to hold the baby's toilet, handle his ears, nose, eyes. Describes how to bathe a child. Recommends means and cosmetics for the care of an infant
7. Tells how to do a manicure to a baby

A nurse should teach her to take care of a newborn.

IMPORTANT: A nurse is not just a lecturer. She shows different manipulations with an infant and suggests that mothers conduct them themselves, but under her supervision

Patronage of a premature newborn

If a pediatrician is prescribed a baby born to a premature baby, he must visit him on the first day after discharge from the hospital.

A child born before the term is under the close supervision of a pediatrician and a nurse.

Together with the nurse, the doctor carries out the patronage according to the scheme, at the same time he develops a scheme for subsequent visits to the child. They will be more often:

• the doctor must visit the child 4 times in the first month
• the nurse carries out the patronage of the baby born before the term, twice a week

The doctor and nurse explain to the mother of the premature baby the need to go to the clinic to check with the doctors, in particular, a cardiologist, a neurologist and an orthopedist. Important role is given to the prevention of rickets in babies born before the time:

• in two weeks they are irradiated with ultraviolet.
• prescribes vitamin D for them.
• performs the treated massage.
• performs hardening of

. IMPORTANT: The child born before the term is on dispensary observation in a polyclinic for up to 7 years

Patronage of a newborn with hereditary diseases

• A child with hereditary diseases from a maternity home is transferred to a hospital where he is examined until an accurate diagnosis is made. If necessary, the treatment is carried out
• A child is prescribed only when there is a certainty that the parents will be able to arrange the necessary care for him at home.
• A child with hereditary diseases in the clinic is placed on a dispensary account.
• . In addition to a pediatrician and a nurse, the head of the pediatric department anddoctors-specialists

Refusal from the patronage of the newborn

If parents do not want the staff of the state children's polyclinic in the place of residencecarried out the patronage of their newborn child, they can write a written refusal, in which to argue its reasons.
In this case, the responsibility for the baby's health and its normal development lies entirely with his parents.

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