The patronage of the newborn at home: terms, goals, scheme. Child patronage form: sample filling

After childbirth, a young mother often does not know how to behave with a newborn baby. To help her feel confident, grow a healthy and developed child and is called patronage.

• A young woman who is preparing to become a mother for the first time feels a burden of responsibility for her baby. She realizes how fragile he will be, and she is afraid that with her inept actions can harm him
• The future mother sometimes seems that she was left alone with this responsibility. But this is not so
• Even during pregnancy, a local pediatrician and a nurse appear next to her, the task of which is the patronage of newborns and children of the first year of life, which includes not only monitoring the health of the baby, but also psychological support for the mother

What is a nursing patronage of a newborn? The objectives of the patronage for the newborn

The term "patronage" is literally translated from the French language as "patronage". In medicine, it means a set of measures carried out by a doctor or a nurse at home in a patient whose tasks are the treatment of the patient, the prevention of various diseases in him, as well as his education.

Important: one of the most important tasks of state medicine (and medicine in general) is the education of healthy, strong children with strong immunity. Drumic doctors and nurses should not only treat small patients, but also take all possible measures to prevent possible diseases and developmental disorders

It is important for the staff of the children's clinic in time to carry out primary prevention of various diseases and developmental disorders in children, which consists in measures of the following nature:

• medical
• psychological
• pedagogical

During visits within the framework of antenatal patronage, as well as the patronage of newborns, the nurse should identify and prevent adverse environmental factors (internal and external), which can negatively affect the health and normal development of the baby, which has just been born.

Important: the first acquaintance of a woman with the staff of the children's clinic occurs during her pregnancy. The first time a children's nurse visits it immediately after registering in a female consultation in order to evaluate the conditions under which a child will proceed and a child will be born, as well as give the pregnant woman some recommendations.

Later, in the middle of the third trimester, the nurse will come again to check whether her recommendations have been made. She will advise the future mother on the care of newborn, breastfeeding, organizing the postpartum period in general

• The fact that in the territory served by a certain children's clinic appeared a newborn patient, the medical institution informs the maternity hospital
• On the first or third day after discharge of mom and baby to their home, a joint visit should be made by a local pediatrician and a patronage sister. This visit is called the first pediatric patronage to the newborn.
• It is noteworthy that in addition to the fact that the primary patronage should be carried out on time, its solemnity is expected
• The doctor and nurse in no case should act as strict teachers or overseers. Young mother, which after is in the stress of physical and psychological, in no case should you poke your nose into errors, if any are made
• The staff of the children's clinic must demonstrate the friendliness and willingness to help a woman in any matters regarding the newborn, his health, development and life

The goals of the primary patronage of the newborn are:

• help for a woman in the postpartum period
  consultations regarding the care of newborn
• consultations regarding the organization of the newborn regime
• assistance in organizing and establishing feeding a newborn
• breastfeeding assistance
• prevention of common childhood diseases (rickets, anemia, others), including infectious
• assessment of the health and development of the child, monitoring them
• consultations regarding the preventive examinations of the child up to a year by pediatrician and doctors - specialists, his vaccination

VIDEO: Patronage of children

Patronage form for a newborn and a sample of filling

The timing of the patronage of newborns. How many times is the patronage of the newborn?

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

• the first visit-1-3 days after discharge from the maternity hospital
• the second visit-10 days after discharge from the hospital
• further up to a month - 1 time per week
• further up to 6 months - 2 times a month
• further up to 1 year - 1 time per month
• from 1 year to 3 years - 1 time in 3 months

Important: according to the testimony of patronage of a child up to a year, more often

Video: Patronage of newborns

The patronage of the newborn

An example of a nursing patronage of a newborn

Nursing patronage can occur in different sequences and in different atmosphere. But there are some general principles. So, nurse:

1. Clarifies the property of pregnancy and childbirth. She studies the documents of the newborn issued in the hospital, starts and fills out the card of the child
2. Examines the child. She assesses the state of his umbilical wound, checks his fontanel, if necessary weighes the baby, measure his height, breast and head volumes. The skin of the baby, his mucous membranes are also examined.
3. Owls his neuropsychological state. It fixes the presence of crumbs of certain reflexes, evaluates the work of its analyzers. So, in 10 days it is noted whether the child can hold the moving object in the field of vision, in 20 days - to fix the look on a motionless object, at 1 to 3 months - raise and hold his head in a stomach position, so on. Gives recommendations regarding the processing of an umbilical wound. It recommends visiting certain doctors - specialists, if there are indications for this. Shows how to do massage and gymnastics
4. Assesses the living conditions and the emotional atmosphere in the family. Gives recommendations to improve the living conditions of a newborn
5. Clarifies the type of feeding a child. If it is breast, examines the breasts of the mother, evaluates the correctness of the capture, gives recommendations regarding the feeding regime, hygiene of the mammary glands, nutrition of the nursing mother, so on. If the child is an artificial, explains the scheme of feeding with a mixture, hygiene of feeding, so on
6. Teaches a woman to the features of the baby’s toilet, processing his ears, nose, eyes. Tells how to bathe a child. Recommends means and cosmetics for the care of a baby
7. Tells how to make a manicure for a baby

Important: a nurse is not just a lecturer. She shows various manipulations with a child of infants and offers the mother to conduct them on her own, but under her control

Patronage of a premature newborn

If a baby who is born premature is prescribed to a site of a pediatrician doctor, he is obliged to visit him on the first day after discharge from the hospital.

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

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

The doctor and the nurse explain to the mother of a premature baby the need to contact the clinic to check with specialist doctors, in particular, a cardiologist, a neurologist and an orthopedist. An important role is given to the prevention of rickets of babies who were born ahead of time:

• in two weeks they are irradiated with ultraviolet
• prescribe them vitamin D
• massage treated
• carry out hardening

Important: a child born ahead of time is on a dispensary observation in a clinic under 7 years

Patronage of a newborn with hereditary diseases

• A child with hereditary diseases from the hospital is transferred to a hospital, where he is examined until an accurate diagnosis is made. If necessary, treatment is carried out
• The baby is written out only when the confidence that parents will be able to organize the necessary care will appear at home
• A child with hereditary diseases in the clinic is put on the dispensary accounting
• In addition to the pediatrician and nurse, patronage behind such a child can be carried out by the head of the pediatric department and specialist doctors

Refusal of patronage of a newborn

If parents do not want the personnel of the State Children's Clinic at the place of residence to patronage of their newborn child, they can write a written refusal in which it is to argue for its causes.
In this case, the responsibility for the health of the baby and his normal development completely falls on his parents.

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