clear
that the amount of cares and troubles in the first few days after returning from
the hospital is very large. And the child must understand and relatives, seeking
worthily to celebrate the event, meet, and during the absence of wild
wife of her husband's pet ... Well at least that such days are not accepted visits
guests. But the arrival of the pediatrician must prepare. Because of this, the first meeting
depends on the subsequent development of your long-term relationship - hopefully
that the friendly and mutually respectful.
Even
if this is not your first child, even if you consider yourself a serious and experienced
specialist in the cultivation of human children, and so even when these
conditions, the need for pediatric very high. It is a district pediatrician "gratis
(Ie a gift) will give you tips on the asles of care and feeding, will assist
in sickness and organizes preventive examinations of the child specialist doctors
and carrying out vaccination, without its conclusion you (or rather, your child) will not accept
either in kindergarten or in a summer camp or in the pool or in school. When illness
child only child's doctor will issue the mother voucher for the provision of
in the workplace. And it will be very pasdent, if you will always observe
The most important asle: a pediatrician should be friends . Not least because
pediatrician will manage without you, and you are without him - no.
And
good to be friends, right from the start, with the first meeting ...
Since
visit to the pediatrician will happen in quite some time (first - second
day after discharge from hospital), it would be very nice if you pre-Make
Some mandatory action , in order not to fuss at the moment
When you hear the doorbell:
-
possible move house in order;
-
Prepare slippers and clothes hangers;
-
hang in the bathroom a clean towel and make sure that did not have to look for
soap;
-
just in case, let it be handy spoon, which is needed for inspection
the oral cavity. The spoon should be medium in size and without any fintiflyushek;
-
If you have specific questions to the doctor - in advance entasst their paper,
because, with high probability, all that you wanted to ask you
forget the most cascial moment. No need to rely on its own memory
and it is highly desirable to have on hand a notebook and writing implements to
be able to quickly write received advice and guidance;
-
Prepare the documents that gave you at discharge from hospital - a pediatrician
they need necessarily.
Start
communication with the conventional ritual dating (- Hello, my name is Tanya,
and this is our grandmother Maria Petrovna ...). Find out and be sure to write down (for
prenepremenno forget) the name and patronymic of your doctor. Not very well
say: "Tell me, doctor ...", because neither candidate, nor, especially, Dr.
Sciences, precinct by pediatricians for some reason do not work. For subsequent
meetings indicate the days and hours in the clinic.
After
Dating with relatives, and all comes to a child. What will make the doctor?
To start pay attention to living conditions in which the child is
(Children's room, number of relatives, physical ability,
baby care items), and then ask you many questions: -
of pregnancy, the timing and course of childbirth, of attachment to the breast, the treatment
or not treating the mother and child, to hold the hospital vaccination. Try
clarify the information received through the study of those same, already mentioned
We document that you gave at the hospital.
Now
directly to the child. Here is your task to wait patiently for the end of the inspection,
which is very important and is not as simple as it might seem at first glance.
For the newborn - an equation with a huge number of unknowns. And very much
should verify, evaluate, specify: height and weight, stool and urine, the degree of
full-term, body temperature, skin and mucous membranes, the degree of
physiological jaundice, the main reflections and specific reflexes period
newborn, head shape, the size of the fontanelles, umbilical wound, using
phonendoscope - the state of the lungs and heart, and, of course, the respiration rate and
heart rate, size of the liver and spleen, lymph nodes, genitals
and many other "little things" - ears, eyes, legs, hands, hair, nails ...
By
After examination of the child's time with his mother to "deal". The main thing is
for a pediatrician - a state of mammary glands in general and milk in particular.
Can
wrap up, which lead to an overall assessment of the child and are
basis for subsequent recommendations.
These
recommendations are of three kinds.
1.
General recommendations and asles concerning the basic principles
child care - temperature, humidity and order in the nursery, feeding,
drink processing umbilical wounds, bathing, walking, clothes in general and its washing
In particular, the use of care and hygiene products (diapers, powder,
creams and oils, pacifiers, sanitary napkins, etc.);
2.
Specific recommendations , associated with individual characteristics
Health is your child (or mother of your child) - how to feed
premature to deal with an umbilical hernia, or thassh in the mouth,
when the appeal to a neurologist or what to do to enhance lactation.
3.
On the day of the first meeting, on very many questions to get an answer almost
impossible, due to a very short period of time during which
mother constantly communicating with your child. The frequency of stool and urine, the duration
feeding and the intervals between meals, the relationship of sleep and wakefulness
etc. - Everything is just set. Not surprisingly, the doctor often gives
recommendations to control , ie draws attention to the mother to the principal
points on which questions have and the answers - just ahead. Often
all, the pediatrician asked to keep a diary of observations of the baby, which is very
desirable to record: the amount and duration of feeding, physiological
departure, duration of sleep, temperature control housing, air during
walks and water during bathing, medication, body temperature in diseases
etc. Later this diary filled up with records of weight gain and growth,
about the size of fontanel, the foods, of teeth, the first words and much more.
clear
that even a cursory discussion of all these "occasions to talk" may
takemorethan one hour, but with time doctor "napryazhenka" ... So, never
Remember, it's better to see once. Do not hesitate to ask the doctor
to show - how to get out of bed on his hands, like turn on his tummy, as
wear diapers, how to swaddle, like cut the nails, as a substitute
converges in great need. All it takes 5 minutes, but successfully replace the two-hour
instasctive monologue.
Topics
Still, remember: the task of the pediatrician is not included lectures and
workshops on the theme "Mother and Child". The implication is that adults
uncles and aunts, who have decided to acquire offspring will be able to find time to get acquainted
with the special literature on this subject.
What would be a wonderful professional and sincere man nor was your pediatrician
He only qualified person who advises moms and dads
helping to solve and prevent problems associated with children. But for Health
child solely the responsibility of his parents - and before God, and to the community
and his own conscience!