First Infant Age: BB Examinations and Good Advice

by | September 10, 2020

Before it’s time to go home with your newborn child, a series of investigations on BB are on the agenda. Here we list them together with some good advice that is good to think about once you have come home with your baby.

The midwife does the following examinations

Child’s jaundice / car check
More than 50% of all newborn babies receive a slight jaundice during the first 24 hours. This is because the baby’s liver is immature and cannot break down the yellow dye bilirubin that is formed when the red blood cell excess is to be broken down. This is done by measuring the yellowness of the child’s skin with a measuring device, which does not hurt.

First Infant Age - BB examinations and good advice

POX measurement The
study involves measuring the baby’s oxygen supply in the hand and foot by placing a small clamp on them, which is completely painless. The purpose is to detect any heart defects that do not cause any other symptoms during the first 24 hours.

PKU is a routine blood test that is taken on all newborn babies. The test is optional. A few drops of blood can exclude various serious congenital diseases that can be treated if detected early. The test can be taken no earlier than 48 hours after the baby is born and preferably within 3-5 days, and it can also be taken in case of a return visit. The test is saved in PKU biobank automatically if the parents do not refuse this.

Hearing impairment
The sooner a hearing impairment is detected, the sooner resources can be deployed to improve the hearing impairment. Therefore, a hearing test is done on all children within the first two weeks, possibly on a return visit. However, it can be difficult to carry out the first days when the child may have amniotic fluid in the ears.

The midwife also checks the baby’s skin color, that the child has a normal breathing and normal body temperature, has kissed and pooped, has normal sucking ability at the breast if the baby is breastfed, the baby’s weight and that the child does not deviate from the normal .

Pediatrician’s examination (BLUS)

The pediatric examination is done before returning home and takes place no earlier than six hours after the child’s birth. The pediatrician does a detailed examination of the child. He listens to heart and lungs, among other things, and examines the child’s eyes with the aid of an eye mirror to see that the child does not suffer from cataracts. The child’s hips are also checked to see that the child does not have hip arthroplasty.

General advice for parents the first time at home

For the first few days, the baby needs continued closeness: have a lot of skin to skin – even if you are not breast-feeding. Make sure the face is free, that the baby is just warm and able to move. Here are some tips to keep in mind:

– The child needs free access to air. Keeping the child’s face free while asleep reduces the risk of sudden infant death. The risk increases greatly if the infant’s face and head are covered with blankets or other bedding.

– Infants should be kept reasonably warm, but do not wear too much clothing. Therefore, adjust the upholstery to the ambient temperature. Infants should be able to move freely during sleep, so it is important that your baby can move his arms and legs while sleeping.

– The child should sleep on his back to prevent sudden infant death. Read the National Board of Health and Welfare’s advice on preventive measures against sudden infant death.

– If the baby is breastfed, add the baby to the chest as often as it shows signs of wanting to suck. If you do not breastfeed, the baby needs to be fed at least eight times a day.

– Make sure the baby is kissing and pooping within the first two days.

– Pacifier can be used when the child is going to sleep after breastfeeding is established.

– Look at the baby’s skin color twice a day, preferably in clear daylight. A slight yellowing of the skin and eye whites is normal. If the child is clearly yellow on the entire body, the child may need help, then contact BB.

– Change the head position to prevent oblique skull, there are also special flat “pillows” for newborns that counteract this.

– Smoking and snuff have a negative impact on the child. This also applies when the breastfeeding parent is exposed to passive smoking.

– Don’t leave your infant alone.

– During cold times, sniffed and infected siblings or relatives should not have close contact with the child. Cold viruses, which in older children and adults more easily cough and cough, can cause serious symptoms such as respiratory problems in the newborn child. Therefore, be sure to wash your hands before taking care of your child.

– If the child does not want to suck, does not wake up after sleep, seems irritated when you touch and comfort it, does not scream vigorously or has a pale gray complexion, it may be signs of illness. Contact BB, BVC or emergency room at any time of day.