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Pediatric Health Maintenance Early Post Natal (first few weeks after birth) quick look
This chart rates treatment options according to general effectiveness, ease of use, side effects and safety.
Legend:     Excellent  Very Good  Good  Fair  Poor  Not available 
Development - Recommended
Treatment Overall Score Effective-
ness
Safety Ease
of Use
Side
Effects
Comments
Early evaluation of eye sight and hearing  

Excellent 
 
 
 
 
Check that infant can do the following: fix his/her eyes/gaze on parent's face; blink when light is directed into the eyes, and startle with sounds (indicating that he/she can recognize sound)
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Early evaluation of eye sight and hearing

 

Legend:     Excellent  Very Good  Good  Fair  Poor  Not available 
Physical examination - Recommended
Treatment Overall Score Effective-
ness
Safety Ease
of Use
Side
Effects
Comments
Full physical exam and recording of height to see if growth is normal  

Excellent 
 
 
 
 
Special attention should be paid to the following: head shape, skin, a check for heart murmurs, abdominal masses, genitals, checking the collarbones, checking the hips, and a test of newborn reflexes.
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Full physical exam and recording of height to see if growth is normal

The genitals are checked in boys for undescended testicles (testicles that have not descended into the scrotum/testicle sacs) and to examine the circumcision (if done). In girls, the genitals are checked for any discharge (infant girls can develop yeast infections). The collarbones are checked for fractures that can occur during birth. The hips are checked for a birth defect called congenital hip dysplasia that can cause arthritis later. Newborn reflexes that are checked to assess normal nervous system development include the Moro - or startle reflex, and the suck reflex.

 

Legend:     Excellent  Very Good  Good  Fair  Poor  Not available 
Guidance/Injury prevention - Recommended
Treatment Overall Score Effective-
ness
Safety Ease
of Use
Side
Effects
Comments
Physician should discuss nutrition, stool and sleep patterns, and normal infant behavior.  

Excellent 
 
 
 
 
Mother's nutrition is important in breast fed infants. All babies should sleep on their backs. Mothers should be checked for signs of post-partum depression (feelings of being sad or overwhelmed that may occur after delivery). Education about harmful effects of shaking infant. If on formula, watch for milk allergy.
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Physician should discuss nutrition, stool and sleep patterns, and normal infant behavior.

Mothers who are breast feeding require plenty of fluids and rest. Back sleeping lowers the risk of a baby dying from sudden infant death syndrome (SIDS). Postpartum depression (depression that can occur after giving birth) is found in up to 10% of mothers. Infants can cry up to 3 hours per day. Parents may need a break from a fussy baby. The baby should never be shaken because their brains can be easily damaged.

If on formula, allergies to cow's milk can develop within days to months after birth. This allergy can cause hives, asthma, colic, sleeplessness, blood in the stool, and poor growth. Let your pediatrician know if any of these events seem to be occurring. More information can be found at:

http://www3.niaid.nih.gov/topics/foodAllergy/understanding/children.htm

 

 
     
NOTE: Just because a drug or combination of drugs can cause a symptom does not mean it is actually causing your symptom. Symptoms can be caused by medical conditions as well. Make sure that your physician is aware of any symptoms you are experiencing so he/she can work with you to determine the cause. Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health.
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