lunes, 27 de diciembre de 2010

First meeting

The first meeting with the local pediatrician with the greatest possible chance does not happen on your initiative. In accordance with existing regulations, employees of the hospital staff before discharge will please children's outpatient clinic and be told on the phone on additions to your family. And the local doctor be sure to visit the newborn, regardless of whether you make a call to the house or not.
It is clear that the amount of cares and troubles in the first few days after returning from the hospital very long. And the child must understand and relatives seeking to adequately celebrate the event, meet, and feral during the absence of her husband's wife fondle ... At least, that in those days not taken by visiting guests. But the arrival of the pediatrician must be prepared. For this first meeting of the subsequent development depends on your long-term relationship - it is hoped that the friendly and mutually respectful.
Even if this is not your first child, even if you consider yourself a serious brand name viagra and experienced specialist in the cultivation of human children - and so, even under these conditions, the need for pediatric very high. It is a district pediatrician "charge (ie, free) will give you tips on the rules of care and feeding, help with illness, organizes preventive examinations of child specialists and conducting 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. If your child has only pediatrician formalize mother voucher for the provision in the workplace. And it will be very prudent, if you will always observe the most important rule: the pediatrician should be friends. Not least because that will cost you no pediatrician, but you are without him - no.
And it would be good friends right from the start, with the first meeting ...
As a pediatrician's visit will happen in quite some time (first-second day after discharge from hospital), it would be very nice if you advance to carry out some required actions in order not to fuss at the moment when the doorbell sounds:

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possible move house in order;
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Prepare slippers and clothes hangers;
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hang in the bathroom a clean towel and make sure that did not have to look for soap;
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just in case, let it be handy spoon, which will be needed for the inspection of the mouth. The spoon should be medium in size and without any fintiflyushek;
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If you have specific questions to the doctor - in advance entrust their paper, because, with high probability, all that you wanted to ask, you will forget at the crucial 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;
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Prepare the documents that gave you at discharge from hospital - they will need a pediatrician necessary.

Start communicating with the generally accepted dating of the ritual (- 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 the candidates nor, especially, Ph.D., precinct by pediatricians for some reason do not work. For convenience of subsequent meetings indicate the days and hours in the clinic.
After becoming acquainted with their relatives and all comes to a child. What will make the doctor? To start pay attention to living conditions in which the child (children's room, number of relatives, physical ability, the baby care items), and then ask you many questions: about the pregnancy, the timing and course of childbirth, of attachment to the chest of treatment or untreated mother and child, to hold the hospital vaccination. Try to clarify the information received through the study of those same, already referred to us the documents that you gave at the hospital.
Now directly a child. Here is your task to wait patiently for the end of the inspection, which is very important and is not as straightforward as it might seem at first glance. For the newborn - an equation with a huge number of unknowns. And much, check, 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 neonatal period, the shape of the head, the size of the fontanelles, umbilical wound by 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 "stuff" - ears, eyes, legs, hands, hair, nails ...
Upon completion of inspection of a child's time with mom "look." The main thing is for a pediatrician - the state in general and breast milk in particular.
You can wrap up, which lead to an overall assessment of the child and are the basis for subsequent recommendations.
The recommendations come in three varieties.

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General recommendations and regulations concerning the basic principles of child care - temperature, humidity and order in the nursery, feeding, drinking, handling the umbilical wound, swimming, 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 related to the individual health is your child (or mother of your child) - how to feed preterm what to do with an umbilical hernia, or thrush in the mouth when the appeal to a neurologist or what to do to enhance lactation.
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On the day of the first meeting on the very many questions to get an answer is almost impossible because of the very short period of time during which the mother constantly communicating with your child. The frequency of stool and urine, the duration of breastfeeding and the intervals between meals, the relationship of sleep and wakefulness, etc. - all this is just set. Not surprisingly, the doctor often makes recommendations for the control, ie, draws attention to the mother at the principal points on which there are questions and answers - just ahead. Most often, the pediatrician asked to keep a diary of observations of the baby, which is very desirable to fix: the amount and duration of feeding, physiological departure, duration of sleep, temperature control housing, air during a walk and water during bathing, medication, body temperature, in sickness and t . n. In the future, this diary filled up with records of weight gain and growth, the size of fontanel, the foods, of teeth, the first words and much more.

It is clear that even a cursory discussion of all these "occasions to talk" can take more Viagra getting rid of impotence and even more than one hour, but with time doctor "napryazhenka" ... So, never forget that it is 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 like to 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 didactic monologue.
However, keep in mind: the task of the pediatrician is not included lectures and practical exercises on the theme "Mother and Child". The implication is that adult 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 is only a specially trained person who advises moms and dads to help solve and prevent problems associated with children. But the health of the child are solely the responsibility of his parents - and before God, and to the community and his own conscience!

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