Common problems encountered in newborn home screening

Heart murmur

If a newborn is heard with a heart murmur after the first day of life, the heart will be examined by ultrasound and, if necessary, a cardiologist will be consulted to arrange follow-up.

Lonkkaluksaatio

At the time of birth, the development of the hip may be incomplete. This will allow the femoral head to slide out of position. The treatment is pediatric treatment, which is carried out by a pediatric surgeon. The child will go to the pediatric surgery outpatient clinic at about 2 weeks of age.

Unsettled testicle

If only one testicle is unsettled, the situation can be monitored at the clinic. A referral to a pediatric surgeon is done at the age of 8 months if the testicle is not permanently in place. If neither testicle has descended, ultrasound will be used to determine the location of the testicles and, if necessary, hormone measurements. In addition, the entire growth curves of the penis are estimated.

Tight tongue

In a newborn, the tongue may remain dull due to the tightening tongue. A tight tongue can cause eating difficulties. In the newborn, your tongue is membranous and, according to the pediatrician’s assessment, can be severed during ward treatment.

Eye rattling

If the eyestrain is very abundant immediately after birth, the bacterial culture is removed from the eye and antibiotic drops are initiated. A common cause of infantile eye irritation is a narrow tear duct, which is treated by pressing the tear bag and cleaning the eyes. If necessary, antibiotic drops are initiated for vigorous shaking. If the symptom persists at the age of 8 months, a referral to an ophthalmologist is made.

Yellowing

More than half of healthy, full-time children are yellowing, and some need blue light therapy. After birth, excess fetal red blood cells are broken down, hepatic bilirubin elimination may be reduced, and excess bilirubin accumulates in the skin. Adequate hydration and, if necessary, treatment with blue light is the treatment. Physiological jaundice is maximal at the age of 3-5 days. Milk jaundice occurs in about 10% of newborns up to 4-6 weeks of age.

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