Immediately after the baby is born, he is examined by pediatricians, neurologists and neonatologists. All children need this. At this stage of life, doctors pay attention to the baby’s reflexes and skills. After discharge from the maternity ward, all documents for your child are transferred to the children's clinic. It is here that the baby will be monitored over the next few years. Many mothers are concerned about the question of which doctors their newborns undergo at 1 month. After all, it is at this age that the first trip to a medical institution is made.
This article will tell you about how a medical examination occurs in the first month. Which doctors to see will be described below. You will also learn the main nuances of such medical procedures.
Medical examination of a newborn in the first month of life
The visiting nurse always tells you which doctors to go to. Before going to the clinic, your baby should be examined at least twice at your home. In most cases, the doctor visits a small patient in the first week after discharge from the maternity hospital. After 2-3 weeks, a nurse visits. She is the one who talks about the need to see certain doctors.
It is worth noting that both health workers must examine the child. The doctor uses a stethoscope to listen to the lungs and heart. The nurse examines the baby’s skin, reflexes and skills. In addition, patronage notes living conditions, in which the child resides. If new parents have any questions, doctors always answer them and help with advice.
What doctors should you see in 1 month?
So, your baby is five weeks old. It's time to see some specialists. First, you should visit a pediatrician or see a nurse. She will write you the necessary directions for examination. If your clinic provides for the issuance of coupons, then you need to take care of receiving them in advance.
Which doctors need to be seen at 1 month depends entirely on your baby. For a healthy child, this will be a neurologist, an ophthalmologist and a pediatrician. You will also have to get tested and visit the vaccination office. When a baby has congenital pathologies, the list of specialists may expand. Let's try to figure out how a child goes through the first month of life.
Surgical office
What doctors are examined in 1 month? One of the first on the list of specialists is a surgeon. The doctor always examines an undressed child. That is why you need to take a diaper with you to your consultation.
The doctor examines the skin. They must be clean. After this, the surgeon palpates the baby’s lymph nodes in the armpits, groin area, neck and back of the head. There should be no increase in these areas. Next, the stomach is palpated. It should be soft and painless. However, many children at this age have intestinal colic. This is noted on the map, but, as a rule, is not considered a dangerous pathology.
Orthopedist
What doctors are examined in 1 month? The child must be shown to an orthopedist. The doctor also prescribes it for all children. Depending on the work of the clinic, the diagnosis can be carried out directly by an orthopedist or another specialist. However, you need to go to the doctor’s appointment with the results of the study.
An orthopedist examines the baby's legs and pelvis. The limbs must be the same length. The feet are also assessed in posing. However, at this age they do not focus on this indicator. An examination by an orthopedist is necessary to rule out dysplasia. hip joints. It is this pathology that often occurs in newborn babies.
Neurological office
What doctors do you see in 1 month? Not the last place on this list is occupied by a neurologist. Before going to the doctor, you need a head scan, which is called neurosonography. This study allows you to evaluate blood flow to the brain and note possible pathologies.
Neurologist evaluates motor activity baby. The doctor also checks reflexes. Quite often, neurologists prescribe a unique treatment for children. Some kids really need it. Do not refuse correction, because lack of treatment can lead to serious pathologies in the future.
Oculist
What other doctors are examined in 1 month? An ophthalmologist is on the mandatory list. Of course, the baby will not yet be able to name the letters and thereby show his vision. However, the doctor can measure the baby's eye pressure and examine the organs of vision.
Some babies develop problems with their eyes after birth. Pathologies such as dacryocystitis, conjunctivitis and so on occur. It is these diseases that the doctor can identify at an early stage of development. Timely correction will help avoid vision problems in the future.
Vaccination room and first vaccine in the clinic
If your child was vaccinated in the maternity hospital, then another one should be given in one month. This is a hepatitis vaccine. The drug is injected into the baby's muscle. For this purpose, the shin is predominantly chosen.
Remember that before vaccination you must visit your pediatrician and get permission. The doctor must measure the baby’s temperature, examine his throat and listen to his lungs. Vaccination is done only when the baby is completely healthy.
Additional diagnostics of the health of a newborn child
What other specialists do you need to see with a one-month-old baby? All children need mandatory check your ears. For this, a special ultrasonic device is used. The instrument is directed into the baby's ear and receives reflection from the eardrum. This device makes it possible to detect deafness in a baby in the first month of life.
Also, at one month the baby needs to do ultrasound examination abdominal cavity. It will allow you to evaluate the functioning of organs and exclude possible pathologies. Diagnosis is carried out strictly on an empty stomach. Before the examination, you should not feed the child for 2-3 hours. Otherwise, the result obtained will be distorted.
Blood and urine tests are also performed at one month of age. In this case, you can collect any portion of urine, it is not necessary to use the morning one. Remember that the baby needs to be washed before collecting the material. Use a urine bag for convenience. Blood can also be donated after meals. Surely a child at this age feeds exclusively on breast milk or an adapted formula.
Summing up
You now know which doctors you need to see with your baby in the first month of life. Remember that such studies help to identify pathologies and begin their correction as early as possible. Never refuse to go to the children's clinic. Get tested regularly and follow the recommendations you receive. Also try to adhere to the established vaccination dates. This approach will help you avoid health problems for your baby. If you have any questions, please contact your local pediatrician. Health to your child and proper development!
- Which doctors should I see per month?
- Why do you need to be examined by different specialists? What can they find in the baby?
- Is it possible to skip the examination if the child is sick?
- Why should such a small child undergo an ultrasound of the brain and hip joints, as well as the kidneys and gastrointestinal tract?
The examination and monitoring plan for your baby is determined by a pediatrician. First of all, the doctor will determine the health group and risk group for your child in the newborn period. The baby’s health status, heredity, features of the course of your pregnancy and childbirth, as well as adaptation in the first week of life are taken into account. Also, the pediatrician and visiting nurse are required to know the living conditions, material security and lifestyle of your family. Depending on this, examinations by a pediatrician and medical specialists are planned. For the first time, a healthy child is invited to a children's clinic for an appointment with a pediatrician at the age of 1 month. Then the baby will be examined by specialist doctors.
A pediatric neurologist is a specialist who carefully monitors development and maturation nervous system child. During the examination, he will determine whether your baby’s neuropsychic development corresponds to his age: he will evaluate the formed reactions to light, sound, as well as motor and psycho-emotional activity. The neurologist pays attention to appearance a month-old baby, the shape and size of the skull, facial expression, posture, skin color. Some diseases of the nervous system long time do not manifest themselves clinically, but their timely detection and treatment contribute to a favorable prognosis. For early diagnosis of brain lesions, neurosonography (NSG) is performed. Neurosonography is an absolutely safe and reliable method that allows you to see changes in the structure of the brain and signs of increased intracranial pressure through the fontanelles.
A preventive examination by a surgeon can identify congenital surgical diseases. In infants, the most common malformations of the anterior abdominal wall are: inguinal, inguinal-scrotal, umbilical, periumbilical hernias; communicating dropsy of the testicular membranes, cryptorchidism and others.
Also, the baby must be examined by an orthopedic doctor. This is done for timely diagnosis and, if necessary, treatment of pathology of the child’s musculoskeletal system. Some disorders may not appear for a long time and may not bother the baby, his parents, or even the pediatrician. But a serious disease gradually develops, in some cases leading to disability. First of all, this applies to hip dysplasia and congenital hip dislocation. Ultrasound of the hip joints helps detect dislocation, subluxation, dysplasia and physiological delay in the development of the hip joints. Currently, this research method is carried out on all children, regardless of the presence or absence of signs of the disease.
An ultrasound of the abdominal organs is performed to exclude congenital malformations and diseases of the gastrointestinal tract and urinary system.
The consultations and examinations listed above are screening, that is, mass. They are carried out on all children aged 1-2 months for a more accurate and timely assessment of their health. Based on the results of the examination, health and preventative measures will be recommended for the baby. You should also understand that treatment of timely identified diseases can be more effective than treatment of advanced forms. Therefore, it is possible to postpone a preventive examination and examination if the child is sick, but then it should be carried out."
The first year of life is the most crucial period not only for the baby himself, but also for the parents. After all, at this time the child may exhibit various deviations that are easiest to correct at the earliest stage of development. If you are interested in which doctors a newborn needs to see at 1 month, then this article will answer this question.
Of course, routine medical examinations definitely a must go. After all, this will help to see various deviations and pathologies in time and prescribe treatment. Which will help fix this or that problem almost without leaving a trace.
The health of the baby begins to be monitored from birth in the maternity hospital.
As soon as the baby is born, a neonatologist assesses the baby’s health according to Apgar scale.
Further, during the stay in the maternity hospital, each doctor examines the baby and prescribes various tests. If the baby was born healthy, then after 4-5 days he is discharged home with my mother.
Otherwise, the baby is transferred to another department for treatment or sent to a children's hospital.
After the baby and mother are at home, home care is provided during the first month of the baby’s life. That is, a pediatrician and a nurse come to your home. Doctor examining a child, and the nurse gives recommendations on caring for the baby and answers all your questions. You can also find out from your pediatrician which doctors a newborn needs to see at 1 month.
When your baby turns one month old, it will be time for... first visit to the children's clinic in order to undergo examination by all specialists. Which doctors should a newborn see at 1 month:
- Pediatrician.
- Neurologist.
- Surgeon.
- Orthopedist.
- Oculist (ophthalmologist).
- Otolaryngologist (ENT).
At the pediatrician's appointment The child's height and weight, head circumference are measured, and the lungs are examined.
You can also ask any questions regarding your baby, his regime, nutrition, etc. Such inspections must be carried out every month.
An examination by a neurologist takes place, perhaps, with more excitement than that of other doctors. Every mother worries that her baby does not have any neurological problems. The neurologist pays attention to physical development, reflexes, muscle tone, head shape, fontanel and other factors.
Also, a neurologist can prescribe an ultrasound of the brain, for some this study will be done for the first time, and for others again. This depends on which maternity hospital the baby was born in, since not all maternity hospitals have acquired an ultrasound machine yet.
The surgeon's task is examination of the baby’s internal organs, but he may prescribe an ultrasound examination. To be sure that the condition of the internal organs is within normal limits.
An orthopedist should conduct an examination baby's lower extremities and neck. Usually he makes sure that the folds on the baby’s body are symmetrical. And also, so that there are no signs of clubfoot, hip dislocation and torticollis. Also, if necessary, he can give a referral for an ultrasound of the hip joints.
An ophthalmologist examines a one-month-old child fundus and tendency to strabismus.
ENT performs audio screening, which is needed to test the baby’s hearing. But if its results do not correspond to the norm, then the doctor issues a referral for further examination.
At the age of 2 months, the baby also needs to visit the clinic, but here the list of doctors is much smaller, or rather there is none at all. All you need is come to the pediatrician for an examination, and also measure height and weight. The doctor will ask you about your baby's developmental progress and behavior throughout the day. You may be offered some preventive vaccinations if they were not given in the maternity hospital and if the baby is completely healthy. By the way, we note that Vaccination is allowed only if the child is healthy not only at the time of inspection, but also during last month. If the baby gets sick, doctors usually prescribe a medical exemption from vaccinations for a month.
What doctors should a newborn see at 3 months?
What kind of doctors do you undergo at 3 months? The baby must again be examined by a pediatrician, pass all the necessary tests, and also undergo appointment with a neurologist and orthopedist. At this age, the baby should already have certain skills. And doctors will be able to assess whether the baby’s development meets established standards. If deviations are detected, assign drug treatment or give recommendations. But if, at the 1-month examination, specialists have already prescribed certain procedures or treatment to eliminate certain health problems, then they evaluate the effectiveness of the therapy and, if necessary, prescribe a further action plan.
When a child turns six months old, he is already more active than before. He begins to explore the world around him. Many children are already turning over well in different directions by six months, and some are already sitting and crawling. Therefore, it is very important for parents to keep the room in which the child is located clean. And also wash toys thoroughly before giving them to your child. After all, at this age the baby actively puts everything into his mouth.
At this age, it is also necessary to undergo a routine examination by a pediatrician and medical specialists. So, the child should be shown to the following doctors:
All these doctors must check the child’s health, his development and compliance of skills and abilities with standards. As for the neurologist and orthopedist, here, as at 3 months, they monitor dynamics of child development after the prescribed treatment and may prescribe additional studies.
Also at this age you should take blood, stool and urine tests.
The baby, who is one year old, must visit many doctors again. So that parents can make sure that he is completely healthy and his development is appropriate for his age. At one year old The list of doctors is the most extensive. It includes: pediatrician, neurologist, orthopedist, surgeon, ophthalmologist, cardiologist, ENT and dentist.
As you can see, the list of doctors has been expanded dentist. It is very important to take your child to this specialist. Since even at this age, caries or other oral problems can occur. Especially if you already give sweets to your baby.
This list of doctors is enough for a boy, but it’s better for a girl too see a pediatric gynecologist. Parents should not be embarrassed by such an early age of the baby, because the gynecologist evaluates the genitals only from the outside. Why is this necessary? In order to make sure that the girl’s intimate hygiene is maintained correctly. And if something is wrong, the gynecologist will select the appropriate treatment.
It is worth noting that the responsibility for your child’s health lies with you. And therefore, we recommend not to miss scheduled examinations by specialist doctors, who will allow you to correct certain problems in a timely manner.
We looked at which doctors a newborn needs to see at 1 month. We also tried to develop the topic further - at 2 months, 3 or 6. And who will have to go through a year... Have you forgotten anyone? Leave your opinion or feedback for everyone on the forum.
Immediately after birth, the baby is examined by a neonatologist. This is a doctor who specializes in newborn babies up to one month of age. Already in the first minutes of life, the doctor assesses the condition of the newborn child on the Apgar scale based on indicators such as the child’s pulse, skin color, breathing, muscle tone, innate reflexes, and strength of cry. This system designed to identify children who urgently need medical care. Healthy babies receive a score of 7-10. If the vital criteria score is below 6 points, then the child comes under close medical supervision. In any case, within the walls of the maternity hospital, the baby is periodically examined by a neonatologist.
After the mother is discharged from the maternity hospital, the local clinic receives information about the newborn baby. Within three days, the local pediatrician, together with a nurse, will definitely visit the child without a prior call. At the first examination, the doctor examines the little patient from head to toe, pays attention to the condition of the fontanelle, skin, mucous membranes, palpates the abdomen, listens to the heartbeat, frequency and depth of breathing, and evaluates reflex excitability and muscle tone. Such an examination is necessary and justified: if pathologies are detected at an early stage, they are easier to treat or correct.
The doctor is also required to assess the home environment, living conditions, social status parents and their ability to provide the baby with proper care. All data received is entered into the newborn’s medical record.
Tip: Prepare a place convenient for normal examination of the newborn. The doctor will undress the child, so the room should be warm. It is worth preparing a list of questions to ask the doctor in advance, preferably in writing, so as not to forget anything.
Subsequently, until the age of one month, the child is periodically visited by a visiting nurse. During her visits, she should not only monitor the condition of the baby, but also advise the young mother on feeding and caring for the newborn. The visiting nurse can and should ask questions regarding the baby’s development.
First independent trip to the clinic
At 4 weeks, the mother should bring the baby to the clinic for examination.
The first trip is always exciting, so that it goes well, you need to prepare in advance:
- Find out at the reception what day your clinic is reserved for receiving infants,
- take with you a clean diaper (preferably two), large wet wipes, a garbage bag,
- pour boiled water or ready-made milk formula into a thermal bottle - suddenly the appointment will be delayed and the child will get hungry,
- A clean notebook and pen to write down your pediatrician's advice and instructions.
First you need to see a local doctor. He will visually examine the baby, weigh him, measure his height and head circumference. Afterwards he will tell you which doctors newborns undergo at 1 month
The list is quite large:
- ENT doctor,
- orthopedist,
- surgeon,
- ophthalmologist,
- neurologist,
- dermatologist - is prescribed selectively if a newborn baby has skin problems, rashes, diathesis, or allergic manifestations.
A visit to the offices of specialized specialists is mandatory. They will examine the child in more detail, draw conclusions about his state of health, and, if necessary, prescribe additional examination or treatment.
More about narrow specialists
An otolaryngologist (ENT doctor) examines the ears, nose and throat of a newborn, does otoacoustic testing to check the child’s hearing, and looks to see if the baby has wax plugs and whether the nasal passages are properly developed. This doctor can answer questions about why your baby is having trouble latching or is unable to feed from a bottle.
An orthopedist is a must-see specialist to assess the health of the child’s musculoskeletal system. The orthopedist will examine the legs and hip joints of the newborn and give an opinion on the results of the examination. A dangerous pathology - hip dysplasia - is observed in 30% of infants.
At an early age, the pathology is corrected 100%, but if you do not pay attention to it and do not start treatment in a timely manner, then the child will remain crippled. An orthopedist can also identify a number of other problems - torticollis, clubfoot, and asymmetry of the legs.
The ophthalmologist will measure the baby’s intraocular pressure, check the condition of the lacrimal glands, and diagnose conjunctivitis of the eyelids. At 1 month, it is already possible to assess the baby’s tendency to strabismus and, if necessary, predict treatment.
At the first meeting, the surgeon will palpate the baby’s tummy, evaluate his reflex reactions, diagnose the umbilical, umbilical or inguinal hernia, palpate the lymph nodes. In boys, the external genitalia will be examined to exclude hydrops, undescended testicles into the scrotum, cryptorchidism and hypospadias.
When examining a newborn, a neurologist will evaluate his reflexes and motor activity, examine the fontanel, check muscle tone, and the level of motor development.
Advice: do not try to go through all the specialists in 1-2 days. This is very tiring for both the baby and the mother. After the local police officer tells you which doctors newborns see at 1 month, you need to write down the days and hours of the appointment in a notebook, and then plan to visit no more than two offices a week.
Now you know what doctors newborns undergo at 1 month. But the local pediatrician may prescribe additional examinations - ultrasound, MRI, blood and urine tests - if there are suspicions of cardiac, renal, intestinal and other pathologies.
Additional examination
Urinalysis - to carry it out, you need to collect the baby's morning urine. This is done using special urinals, which differ in shape for boys and girls. You can buy them at any pharmacy. The local nurse will tell you how to collect urine using the device. It is very important to wash the child thoroughly the day before collecting the material.
A general blood test is done based on taking blood from a finger, a biochemical test is done from a vein of the newborn. Biological material is taken from such young children at any time of the day, regardless of food intake.
ECG (electrocardiogram) - taking heart indicators and predicting the child’s condition in the near future.
Ultrasound (ultrasound examination) of the brain, heart, abdominal cavity - to identify deviations in the development of body systems.
Ultrasound examination is especially relevant for premature and low birth weight babies, whose score at birth was less than 7 points on the Apgar scale
Of course, such an in-depth examination is not prescribed for every child, but only for those children whose condition causes concern to the local pediatrician or other doctor. Mothers do not need to independently prescribe any procedures for their child or insist on conducting one or another type of examination, since the local pediatrician is able to adequately assess the health of the newborn and the need for additional tests.
Vaccination room
In the maternity hospital, a newborn child receives the necessary vaccinations, but at 1 month it is necessary to receive another vaccination - against hepatitis. Permission for vaccination is given only by the local pediatrician after a complete examination of the baby and assurance that the baby is healthy. Parents have the right to refuse vaccination, but this should be done thoughtfully after studying the issue from all sides and receiving advice from a competent specialist. If you doubt the quality of the vaccine, you can agree to purchase another vaccination material - less aggressive, more purified, from another manufacturer. But this issue must be discussed with your doctor first.
Please note that the standard vaccination schedule can be changed individually for you, taking into account the baby’s health condition
Keep a notebook and be sure to monitor vaccinations. Don’t hesitate to ask your doctor to check your personal vaccination schedule once again. This approach will help protect the child from serious illness in the future.
Remember that caring for the child’s health primarily lies with the parents, so you should not skip going to the clinic when the baby is 1 month old.
From the very first moment of life, the baby is under continuous medical supervision.
Having received all the necessary procedures in the maternity hospital, the child and his parents go home.
Within a month, a pediatrician and a nurse provide patronage to the newborn. The baby's well-being and development are constantly monitored.
A month has flown by, and the moment comes when the child has to undergo his first examination at the clinic. This process causes great anxiety for many parents. How will everything go? What should you take with you? How long will this event take?
At the end of the child's first month of life, the first screening is carried out.
The examination includes the following procedures.
- Ultrasound of the brain. This examination is prescribed to children aged 1 month to detect disturbances in the functioning of the central nervous system. During this period, examination is mandatory for all children, then on the recommendation of a neurologist.
- Ultrasound of the hip joints. Congenital hip dislocation is a serious abnormality that is much easier to treat in infancy. If hip dysplasia is detected, which also often happens, massage and therapeutic exercises are enough - the mother herself can cope with this.
- Ultrasound of the kidneys and peritoneal organs. Abnormalities such as an enlarged liver or spleen are often found in infants, so it is important to identify them early and begin treatment. If kidney pathologies are detected, further treatment is carried out by a nephrologist.
- Audio screening. The baby's hearing should be tested in the maternity hospital, but if for some reason this was not the case, then at the age of one month the examination must be completed.
- Electrocardiogram. Many children at this age are found to have. They are not dangerous and go away on their own over time, but it may be different. It is important to conduct a timely examination of the heart and blood vessels in order to diagnose abnormalities in the early stages.
Before undergoing examinations by specialized specialists, it is advisable to have on hand the results of all ultrasound examinations, so that each doctor can rely on them in his conclusions.
Laboratory research
At the age of one month, tests are mandatory for the child. Most often this is a general blood and urine test.
Urine from an infant is difficult to collect, so even a small amount will do.
The first morning urine is the most accurate and effective, but small children urinate more frequently, so it is not possible to collect it.
The main condition is that the child must be thoroughly washed before.
During this month, the child should have gained 500-700 g of weight and grown by 2-3 cm.
During the examination, the pediatrician examines the baby's skin, listens to the frequency of the heartbeat and breathing, determines muscle tone and reflexes.
The pediatrician is required to prescribe vitamin D to all infants, determine its dosage and duration of use. This is aimed at preventing rickets.
If there are no contraindications from the pediatrician, the child is sent for vaccination.
Visit to the vaccination clinic
A booster vaccination against hepatitis B for infants aged one month is the only recommended vaccination.
During the first year, the child will receive only four vaccinations against this disease.
This contributes to the formation of immunity against hepatitis B.
In the future, even if you come into contact with a carrier of this infection, unpleasant consequences can be avoided.
Many parents underestimate the importance of such vaccinations and refuse them, but the immunity of a small child is not sufficiently developed. Even if a child is cured of hepatitis B, a chronic form of this disease can develop - this happens in 90% of cases.
In order to prepare for vaccination you need:
- maintain a stable infant feeding regimen during the week preceding vaccination and prevent the child from being exposed to stress factors;
- protect the baby from the possibility of getting any infection - at the time of vaccination he must be completely healthy;
- To allow vaccination, the pediatrician must check the child’s body temperature.
When visiting the vaccination office, a vaccination certificate is issued for the child. It contains data on each vaccination, the date of its implementation and the vaccine used.
What you need to have with you to undergo the examination
In order to have your baby examined by a pediatrician, you need to have the following things with you:- 2 diapers: one is spread on the changing table, and the second is on the scales;
- pacifier if the child is used to it;
- spare diapers and wet wipes;
- drinking in a bottle;
- a notebook with pre-prepared questions for doctors.
Parents should not neglect mandatory medical examinations of the child, because timely diagnosis of diseases in most cases helps to successfully overcome them in the early stages. They are especially important for children who were born prematurely, with low Apgar scores and impaired muscle tone.
Experts say: as long as the child’s fontanelle has not closed, deviations can be easily corrected. The main thing is not to miss this important moment.
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