Medical and sister patronage of the newborn at home: goals, terms, how many times a week. Primary patronage of the newborn: a sample of filling

The patronage of the newborn is carried out during the first month of the baby's life. Read more in the article.

The content of the article

The patronage of the newborn is the observation of the child in the first month of his life by a doctor and a nurse. It is provided for free to all children without exception. Such observation is carried out at the place of residence of the mother with the child. It doesn’t matter where they are registered, a children's nurse or a pediatrician come at the place of residence of the mother.

The first patronage is carried out before childbirth. The purpose of the visits is to collect an anamnesis and teaching the future mother.
On the antenatal patronage, the nurse draws attention to the factors of perinatal risk, a child, a moral and psychological climate in the family and material conditions will be desirable.
The expectant mother should attend the school of young parents, make her food right and lead a healthy lifestyle.
At 31-38 weeks of pregnancy, a second patronage is carried out. Medical workers check how the recommendations are carried out, and carry out the preparation of mom for the postpartum period: a conversation is conducted on feeding babies only with breasts in the required period of time, about the preparation of the chest for feeding and preparing a place to care for the child and the necessary medicines that should be in the home A medicine cabinet.

What is a nursing patronage of a newborn: legislation

The patronage of newborns is carried out during the first month of the baby's life. This is spelled out in the legislation of the Russian Federation.

All young mothers are wondering what the nursing patronage of the newborn is, and why should a nurse or doctor come home? After all, parents can call the clinic by phone and inform the health status of the child.

The newborn needs constant care and protection.
The nurse and the doctor who come home to mom with the child are evaluated, whether the crumbs are fed correctly, whether the environment is normal.
A medical worker can notice the deterioration of health in a child in time, And take measures. Young parents, without the experience of raising young children, may not pay attention, for example, to increase body temperature, or complications after childbirth.

Important: only through the efforts of the mother, who observes healthy lifestyle, the baby will grow up healthy and strong. Good care and breastfeeding They will help him quickly adapt to living conditions, form immunity, and the acquired potential will help to develop all life functions and intelligence.

Mandatory patronage of the newborn is indicated in the order of the Ministry of Health and Social Development of the Russian Federation of June 1, 2010. This order was issued on the basis of Article 37.1 of the “Law of the Russian Federation on the Protection of the Health of Citizens”, adopted on July 22, 1993.

Patronage form for a newborn and a sample of filling

When the nurse comes home for the first time, where mom with a newborn lives, she fills out a special form. Records are made on the basis of an extracted epicrisis issued in the hospital and other documents.

The patronage form for the newborn and a sample of filling:

First, the passport part is filled: the date, surname and name of the baby, date of birth, address and place of work of the mother and father. If there was an admission to the hospital after the hospital, you need to indicate the date and a directing diagnosis.

Patronage form for a newborn

The next part of the form indicates the data if there are complaints or the baby was treated in the hospital after the hospital. This part of the form should fill the doctor with the primary patronage.

Patronage form

In this part of the record form, the nurse makes. She indicates whether there were threats of termination of pregnancy, the afflicted diseases of the mother, whether there were abortions, miscarriages.

Patronage form and sample filling

Further, the nurse asks for bad habits during pregnancy and makes an entry in the form. Complications are necessarily indicated during childbirth and when the child cried out. The weight of the child, the circumference of the head and chest are recorded, and when it was attached to the chest.

Patronage form for the newborn and filling it

The nurse should make a record of vaccinations conducted in the hospital. Then the discharge date is noted, and how the period of newborn passes.

Patronage form for a newborn

All other records in this form are made by the doctor in the first year of the child’s life. He will note how psychomotor development, the nature of feeding, the timing and sequence of the introduction of complementary foods passes.

The goals and terms of the first patronage to the newborn

When visiting a mother and a child, a local children's doctor and a nurse fulfill their job responsibilities - professionally and correctly. In a word - care is being carried out about the person who was born. The goals of the patronage should include the following:

Assessment of the state of health of the crumbs. The muscle tone is checked, the fontanel is felt, the color and condition of the skin are evaluated. A visual examination of the child’s body is also underway and symmetry is revealed for the location of all organs, the work of the limbs, the development of the genitals, the correct shape of the head and more.
Assessment of the health and psychological state of the mother. The pediatrician can examine the woman's breasts for mastopathy, and conduct a conversation about how to apply the baby to her chest.
Assessment of social and economic conditions in the family. The conditions should be favorable, and the child must be provided with everything that the baby needs at this age. If the family is dysfunctional, the pediatrician in writing gives an assessment of the situation and also determines the psychology of parents' behavior in relation to the baby.
Mother training in baby care, proper care, hygiene procedures.

The terms of the first patronage to the newborn:

In the first three days after discharge, a pediatrician and a nurse come. After medical workers receive information about the child, they must visit him.
On the first day after discharge, a medical worker comes if the child has deviations in health or had injuries during childbirth.
The nurse visits a newborn every day for 10 days. Then it will come only on the 14th and 21st days of the child’s life.
If development proceeds normally, the need for a visit to the future disappears.

The young mother should remember that she should tell the nurse about all the problems arising from the crumbs. If you do everything right and fast, it will be easier to cope with problems. Colic in the abdomen, regurgitation and constant crying of crumbs will disappear.

How many times a week is a newborn patronage?

Many young parents do not understand the importance of patronage of the newborn. When discharge from the hospital, they wonder: "How many times a week is the patronage of the newborn, and is it needed?" But as described above, the patronage sister will come every day during the first 10 days of the life of the crumbs. Then on the 14th, 21st day and the last visit on the 28th day.

The patronage of the newborn

There is an adopted scheme for visiting a newborn by medical workers. It is as follows:

1, 3, 10, 14th day-a newborn is visited by a pediatrician.
2, 4, 5, 6, 7, 8, 9, 21 and the 28th day-visits the nurse.
By the end of the first month of life with a child, you can come to the clinic for an appointment for weighing and conducting a consultation.

Important: after visiting on the 14th or another day, if you notice a deterioration in the baby’s health, call the children's consultation and call the doctor to the house.

An example of a nursing patronage of a newborn

The nurse should come at the place of residence of the mother and the newborn child for 3 days. Often medical workers come on the first day if the firstborn was born in the family. An example of the nursing patronage of the newborn that the nurse should do:

A medical worker congratulates parents on the birth of crumbs.
The following questions will follow: who was born, what is the name, what weight, on what day the umbilical cord fell off when he took her chest and was there any complementary foods?
Then the nurse asks the mother’s health data: the birth is normal, whether there was surgery. She also controls the sanitary condition of the apartment, compliance with the regime of the day.
After that, the nurse washes hands, puts on a bathrobe, hat and mask. A child is examined: skin, visible mucous membranes, umbilical wounds and attention is paid to the chair.
Based on the examination, the nurse talks about caring for the baby, feeding. He teaches parents to swaddle, treat the skin, mucous membranes, umbilical wound and conduct a hygienic bath.

If everything is fine, the nurse leaves. If there are any deviations in the health of the child or his development, she reports this to the pediatrician.

Paid patronage of the newborn

Many parents are not satisfied with the free patronage of the newborn. Therefore, they turn to private clinics. A paid patronage of the newborn is carried out by pediatricians and nurses of these clinics according to certain schemes.

Remember: for what scheme you made the money, according to the schedule, a medical worker will come.

Therefore, when choosing a clinic (state or private), you should evaluate all the advantages and risks for the child, especially if you had a first -born.

Patronage of a premature newborn

A children's pediatrician and a nurse necessarily visit a premature newborn on the day of his discharge from the hospital. The patronage of a premature newborn is carried out daily in the first 10 days of life and at least 5 times a week later until a child reaches his monthly age. The pediatrician visits the child 3 times a week.

Patronage of a newborn with hereditary diseases

The birth of a child with hereditary diseases requires urgent intervention of doctors. Perhaps the newborn will need treatment in the hospital.

After discharge from the hospital, patronage of the newborn with hereditary diseases is carried out. The nurse visits the baby every day during the first 10 days after discharge, then every other day. The pediatrician comes home to mom with a child 3 times a week.

How to abandon the patronage of a newborn?

Every mother needs assistance assistance, especially if she has a first -born. But many parents do not want to receive patronage in the district medical institution, they are registered with the child in paid centers. Therefore, the question arises, how to abandon the patronage of the newborn?

Tip: It is enough to write a written refusal. This can be done on the day of the first visit or to specially go to a medical institution to the local pediatrician, but without a child, and fill out the necessary forms there.

The patronage of the newborn - every family passes through this important stage. Visits to the pediatrician and nurses help to cope with many problems. Medical workers will teach everything necessary for the care and development of the child, and teach you to correctly take care of the baby from the first days of life.