Examination of the Newborn - part 1 doc

[...]... manifest during the examination of the baby It alerts the examiner to the fact that each baby is the result of a unique combination of factors and that, through developing an appreciation of these, the examiner will be able to focus the examination to meet the specific needs of the family unit xiii Chapter 2 considers normal fetal development in the light of the potential hazards to which the fetus may... specific medical conditions; however, the diagnosis of abnormality remains the remit of the medical practitioner The First Examination of the Newborn: A Practical Guide takes the examination of the newborn into a new phase, taking a familycentred approach to this important consultation This text encourages all practitioners with responsibility for the examination of the newborn to see each baby as being... declining, this first examination is often combined with the traditional discharge examination which confirms the baby’s fitness to go home and thus places the care of the baby in the hands of the parent(s) Ramsay et al (19 97) in a study of 9, 712 babies compared clinical outcomes in babies who had either one or two neonatal examinations They concluded that there was no clinical difference in the detection... at some of the issues that mothers may face depending on their age It is important to explore how this knowledge might influence the care that you give when undertaking the first examination of the newborn Consider the following scenario: You are caring for two women whose babies need their first neonatal examination before they go home from hospital One mother is 15 and the other is 40 years of age... competence to undertake the clinical examination of the neonate in order to provide a total package of care for low-risk women and their families The clinical examination of the newborn is also becoming an issue because of the increasing number of home deliveries The majority of home births take place without medical cover, and general practitioners, who are not involved in intrapartum care, are sometimes... community Examination of the Newborn: A Practical Guide is a particularly useful text Although the chapters are related to each other, they are designed so that they can also be read independently Chapter 1 sets the scene for an individualised approach to the examination of the newborn baby In order to do this the practitioner needs to consider preconceptual issues that affect women and how these may... start a family; 2 the implications of premature and mature motherhood; 3 the experience of women who have become pregnant through assisted conception; and 4 questions which new parents may raise Scenarios will be used to explore specific issues, focusing on the role of the practitioner undertaking the first examination of the newborn Becoming a mother The decision to embark on the pleasure of parenthood... individuals; their need for reassurance will be based on their experiences of pregnancy and childbirth For the first time in one text, Examination of the Newborn: A Practical Guide brings together not only the clinical aspects of the examination but also the professional and legal frameworks that xi underpin this important screening event It also encourages the practitioner to consider the woman and... undertake the examinations, you take a moment to reflect on the assumptions and stereotypes that you have of these women How can you ensure that you provide appropriate care? In order to illustrate the fact that professionals often categorise certain types of women, some of the common stereotypes that are attributed to teenage mothers are listed below Of course, such 6 EXAMINATION OF THE NEWBORN descriptions... on the positive aspects of her achievement It is also an opportunity to raise issues such as immunisation or how to recognise when the baby is unwell as part of the natural flow of the examination, rather than in a preaching or superior manner Mature motherhood The age at which women decide to commence child-rearing is increasing in developed countries; for example, in Britain the average age of mothers . I. Durward, Heather, 19 60–. II. Title. [DNLM: 1. Physical Examination Infant, Newborn. WS 14 1 B327e 2000] RJ255.5B37 2000 618 .92’ 0 1- dc 21 00–0366 21 CIP ISBN 0-2 0 3-9 7 71 6-5 Master e-book ISBN This. Baston and Heather Durward p. cm. Includes bibliographical references and index. ISBN 0-4 1 5 -1 918 4-X (hb)—ISBN 0- 41 5 -1 918 5-8 (Print Edition) (pbk) 1. Infants (newborn) —Medical examinations. I class="bi x0 y0 w1 h1" alt="" Examination of the Newborn Doctors or midwives carry out an examination of all newborn infants within 24–48 hours of life. The purpose of the examination is to